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The specificity of the signal (e.g., no increase in non-vestibular ENT diagnoses like hearing loss) further argues against pure detection bias

But ultimately, a few leading companies dominated the field while many me-too drugs failed to reach the market

doi: 10.1016/j.jnutbio.2012.04.016

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This prolonged transit time increases the opportunity for hydrogen sulfide gas formation, particularly when consuming foods containing sulfur compounds, resulting in sulfur burps with a rotten egg odor