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This is due to impaired conduction through the AV node and is usually benign

Further, rats treated with ALCAR had high expression of ATF3 and S100 in the distal nerve tissues of the CN extrusion site

The prolonged opening of this pore affects the redox state of the mitochondria, impairs oxidative phosphorylation, and activates apoptosis, ultimately leading to cell death

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While sulfur burps are not specifically listed as a distinct adverse effect in formal clinical trial data, they represent a plausible manifestation of the medication's known impact on gastric emptying and digestive function