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Acetylcholine is a neurotransmitter found throughout the peripheral and central nervous systems and is well known for its importance in muscle contraction, attention, learning, memory, and stress.* Acetylcholine released by the vagus nerve is essential to immune health due to its ability to downregulate cytokine expression in the spleen, liver, and gastrointestinal tract.* Key ingredients Acetyl-L-carnitine: Derivative of L-carnitine shown to increase plasma and brain levels of L-carnitine

doi: 10.1073/pnas.1316569111 58 ReboucheCJSeimH

These procedures involve the use of a minimally invasive surgical technique: a small incision is made to access the kidney or upper ureter with a nephroscope, which is then used to fragment (nephrolithotripsy) or remove (nephrolithotomy) the stone (Vicentini 2009

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