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Purine and glutamate metabolism were the top hits, suggesting perhaps ATP and glutathione biology are impacted

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

If youve recently had surgery or undergone a medical test, that could be why your pee is green

As regards the pathogenic mechanisms, the occurrence of an oxidant stress (resulting from an impaired homocysteine metabolism, which modifies the redox status of extra- and intracellular thiols and thus alters the intracellular redox potential) might play a central role in moderate hyperhomocysteinemia-mediated vascular disorders

However, deficiency is quite common , particularly among vegetarians, older adults, and people with certain digestive conditions