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An important link between the generation of beneficial tryptophan metabolites and dietary fiber intake was established by Qi et al., who found that the intake of fiber-rich foods was most strongly associated with indolepropionate concentrations (50)

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The final item bank consists of 55 items, with 27 items representing five facets of narcolepsy symptoms (behavior, cataplexy, cognitive difficulties, sleep quality, and sleepiness) and 28 items representing five facets of functional impairment (bothered by/worried about symptom, cognitive/academic, global functioning, safety, and social)