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Elevated HPHPA, a Clostridia metabolite measured on OAT, has been associated with altered dopamine-to-norepinephrine conversion and may be relevant in neurocognitive symptom presentations (Shaw, 2010)

Machiraju, P., Wang, X., Sabouny, R., Huang, J., Zhao, T., Iqbal, F., King, M., Prasher, D., Lodha, A., Jimenez-Tellez, N., Ravandi, A., Argiropoulos, B., Sinasac, D., Khan, A., Shutt, T

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Single cell transcriptomic landscape of diabetic foot ulcers