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Your girlfriends recurrence of symptoms around her menstrual period may be recurring due to resumption of menses

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Role of oxidative metabolites of cocaine in toxicity and addiction: oxidative stress and electron transfer

For reference, normal poop should look light brown to brown-green and sausage-like, according to the National Association for Continence

GLP-1 effects on visceral illness Inhibition of food intake can be due to other factors than satiety, including gastric discomfort, e.g., gastroparesis, associated with visceral illness and stress

Liang et al., 2018
