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This became even more urgent with genetic evidence suggesting that those born with higher lifelong levels may be at increased risk
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Individuals with pre-existing liver conditions should use caution because the liver plays a central role in metabolizing the lipotropic compounds

doi: 10.1210/en.2006-0453

Persistent cases warrant re-evaluation: advanced vestibular testing (VEMP, ENG), MRI to rule out central lesions, or referral to an otoneurologist

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Where the Cycling Myth Came From 1
