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and (iii) BB may be a gut microbial product of l-carnitine after, in one study, trace concentrations of radiolabeled BB were discovered in feces following oral ingestion of radiolabeled l-carnitine (3941)

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Additionally, reducing caffeine, carbonated drinks, and late-night snacks can help keep symptoms at bay

Pharmacologic pain management: In accordance with American College of Physicians guidelines, non-steroidal anti-inflammatory drugs (NSAIDs) may be considered first-line when appropriate, using the lowest effective dose for the shortest duration

Crawford, D