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There are no obvious abnormalities in the inner ear parts of the central auditory system, which includes the ventral and dorsal cochlear nuclei, superior olivary complex, lateral lemniscus nuclei, and inferior colliculus Hearing impairment has been observed in cases with auditory neuropathy spectrum disorder, as shown by behavioural audiograms with varying degrees of severity ranging from usual to moderate too serious and profound

Specialized IV therapies such as Niagen IV for brain and cognition support as well as fatigue, and Plaquex IV therapies for the support of liver and kidney disease and lowering of cholesterol are used daily at COEM to treat patients who travel locally and from a distance to receive expert care

Notably, the reductions in AAs in PBH included both essential and non-essential AAs, and both gluconeogenic (e.g., Ala) and ketogenic (e.g., Leu) AAs