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Although hearing loss, particularly cochlear or other forms of peripheral auditory damage, remains a major risk factor, it does not fully account for the persistence of the condition, as evidenced by its continuation following auditory nerve transection 86 and its occurrence in individuals without measurable hearing loss

Interestingly, the addition of a daily oral dose of erythromycin 20 mg/Kg to propranolol showed a significant increase in response rate in a randomized trial (149, 150)

For individuals seeking support with obesity or weight management, NICE-approved pathways exist and should be the starting point

Effect of chitosan salts and molecular weight on a nanoparticulate carrier for therapeutic protein