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It has been suggested that acyl glucuronides are intrinsically more reactive, being able to undergo rearrangement, via acyl migration (catalysed by hydroxide) to form 2-, 3- and 4-O positional isomers that are resistant to hydrolysis by -glucuronidases (Lo et al ., 2001)

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In most settings, though, considering and evaluating easily correctable causes of heart racing is warranted

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Cadmium exposure induces gut microbiota dysbiosis, elevating intestinal T-MCA and subsequently inhibiting hepatic FXR/FGF15 signaling