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This is because that increased brain L-lactate production owing to the LDH-A/LDH-B ratio but blockage of L-lactate transport from glia to neurons, resulting in L-lactate deficit in neurons

These include fatigue, fullness after small meals, shallow breathing, sensation of food or pills getting "stuck" in the throat, chest pressure, acid reflux , frequent burping, tickling cough, gas, bloating of the upper abdomen and even heart rhythm changes