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One of the physiological changes seen is the tempering of the bodys most powerful antioxidant: reduced glutathione

Lancaster and Collin 1981)

Although the exact role of food triggers in GERD is not fully understood, some foods may relax the lower esophageal sphincter and increase the risk of reflux

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Assessment of corneal nerve fiber density (CNFD) showed that at baseline the mean density was significantly reduced for the diabetes group (24.4 1.1 fibers/mm 2 versus normal control of 37.2 0.9 fibers/mm 2