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Patients with complex anatomy, including those who have previously undergone fundoplication surgery or the LINX reflux management system, should ensure their surgical history is factored into any procedural planning

Overall, MSM supplementation presents a holistic approach to improving overall well-being

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Mtb can also incorporate propionyl-CoA into its cell wall, including the virulence-associated lipids phthiocerol dimycocerosates (PDIM) and the trehalose ester family (sulfolipid-1 (SL-1), diacyltrehalose, triacyltrehalose, and polyacyltrehalose), which are synthesised from malonyl-CoA (produced from acetyl CoA) and methylmalonyl-CoA (produced from propionyl-CoA) (Lee et al, 2013)

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