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Your urologist might also order blood tests to evaluate your hormone and ketone levels, and check for signs of diabetes and other metabolic disorders

Indirect evidence suggests that interstitial cystitis may have an autoimmune nature

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Yet another mechanism contributing to the specific vulnerability of the gastrointestinal system to TD may involve the gut-brain axis, which depends on vagal tone and acetylcholine neurotransmission, for which thiamine co-release is known (165167)