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TMAO can inhibit the activation of FXR by changing the size of the bile acid pool, which may weaken or inhibit the beneficial effect of FXR, affect the glucose metabolism of the host, and promote the occurrence and development of insulin resistance and NAFLD

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Meta-analytic data indicate that tinnitus patients with normal hearing thresholds often exhibit significantly reduced ABR wave-I amplitudes, consistent with synaptic loss, and an increased wave-V/I ratio, suggesting central gain enhancement, although changes in wave-V amplitude are inconsistent across studies 43,63

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