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Importantly, while the effects of ammonia exposure on the GM can be caused both by direct exposure, it can also stem from the acidification resulting from hydration to ammonium

Biomaterials 2010, 31, 908915

Sci Rep (2020) 10(1):5748

One approach is to modify the nucleic acid structure to stabilize the properties of NADs and avoid recognition by the immune system

One review in 2017 that examined evidence from eight studies on the subject concluded that the wide variety of study designs, durations and small sample sizes made it difficult to reach a definitive conclusion