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Late stage symptoms include: Sweating Anxiety Diarrhea Fainting Hunger Fatigue Dizziness and lightheadedness Difficulty concentrating Feelings of confusion Weakness Rapid heart rate What Causes Late Stage Dumping Syndrome

Specifically, HS reduces superoxide anion generation by inhibiting mitochondrial complex IV activity, while upregulating MnSOD and Cu/Zn-SOD to achieve coordinated control of ROS sources and terminal clearance (Sun et al., 2012)

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