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[2] At the end of each four-week period, resting blood samples were obtained, in addition to blood samples following Isometric exercise, showing significant increases in plasma nitrate/nitrite among those who were given GPLC

Offal (liver, liver pate, kidney, tripe), egg yolks and soybeans very high in choline so should also be avoided

Specific strains such as Bifidobacterium lactis and Bifidobacterium bifidum have been documented to improve tear secretion and BUT ( Saccharomyces boulardii MUCL 53837 and Enterococcus faecium LMG S-28935 have been effective in alleviating subjective symptoms of DED ( Bifidobacterium and Lactobacillus plantarum not only increased tear secretion but also repaired CECs and reduced inflammatory markers like TNF- and IL-1 (Yun et al., 2021)

Clinical working case definition, diagnostic and treatment protocols

Faas MM, de Vos P

Spiceophrenia: A systematic overview of Spice-related psychopathological issues and a case report