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More rigorous randomized trials for fibromyalgia, diabetic neuropathy, and other chronic pain syndromes are needed

Poor dietary intake, especially excessive sugar and fat intake, can cause fluctuations in blood sugar levels and lead to drowsiness

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Alberti KG, Johnston DG, Gill A, Barnes AJ, Orskov H

Optimization of fungal fermentation for the extraction of polyphenols from Flourensia cernua and its effect on cellular metabolism Lesly Katleya Usme-Duque, Jess A

A palpable fluid thrill can help to distinguish ascites from other causes of abdominal enlargement, such as organomegaly, abdominal masses, bladder distention, abdominal wall weakness, obesity or, occasionally, accumulations of gas within the abdominal cavity 27 (Table 23-26 )