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Kiddy DS, Hamilton-Fairley D, Bush A, Short F, Anyaoku V, Reed MJ, et al

In consequence, with the thrombocytopenia and haemorrhage, the expected lack of NO-suppression of platelet aggregation [33], the acceleration and amplification of the induced pattern of platelet activation resulting in platelet exhaustion [9] (L-NAME), grossly correspond to the suggested inhibition of platelet aggregation, by direct action on an intraplatelet constitutive calcium-dependent NOS [3335] (L-arginine)

Long COVID and MCAS can cause severe food sensitivities due to gut inflammation and mast cell activation

[34] Additionally, the complex nature of nausea and vomiting pathophysiology, which involves multiple neurotransmitter systems and neural pathways, suggests that ondansetrons effectiveness may depend on the specific underlying mechanisms contributing to each patients symptoms