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Additionally, individual susceptibility to ototoxicity varies, with preexisting conditions, such as chronic kidney disease and advanced age, further increasing vulnerability

Gut microbiome Disruption of the gut microbiome, known as dysbiosis, may contribute to immune dysregulation and autoimmune diseases such as GD (33, 34)

Dietary vitamin B 12 2 deficiency consider oral vitamin B 12 replacement

However, to prevent the overstimulation of neurons, excitatory neurotransmission is tightly regulated

[DOI] [PubMed] [Google Scholar] 196.Qi X, Zheng L, Lee K, Kim D, Kim C, Cai D, et al

The pathogenesis is not fully understood yet