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This phenomenon of angina, or demonstrable ischemia, with no obstructive CAD (INOCA/ANOCA) represents a spectrum of clinical syndromes closely linked with CMD, as the presence of coronary ECD can lead to arterial vasospasm causing myocardial ischemia or acute coronary ischemic events

The problem may not be that the diet is grain-free or legume-heavy but that ingredients are interacting to reduce availability of taurine or that other nutrients are missing or interacting in the formulation

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