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The disease is associated with several factors, including disruptions in purine metabolism (5), decreased UA excretion and excessive UA production (6,7)

Brain 146(12):51245138 Hu N et al (2022) The frequency of ALSFRS-R reversals and plateaus in patients with limb-onset amyotrophic lateral sclerosis: a cohort study

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I have found Borrelia miyamotoi by PCR in one of my patients who came to see me with a psychosis, who had been treated with antibiotics for five months by another physician