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It then asks why well-powered trials have largely failed where smaller studies and real-world data succeeded, with attention to brain exposure, trial design, and patient selection, and outlines what the next generation of studies will need to test the hypothesis properly

Common dietary triggers include: High-protein foods (particularly red meat, eggs, and dairy products) Cruciferous vegetables such as broccoli, cabbage, and Brussels sprouts Some foods containing preservatives Carbonated beverages that introduce excess gas Beyond dietary factors, sulphur burps may arise from conditions affecting gastric emptying or digestive motility

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