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With respect to Group B, 14 out of 20 (70%) showed a drop in one grade whereas remaining 6 (30%) did not show any change in the grade

(Kato et al., 2022) As the mucins are secreted and insufficiently hydrated, the viscosity and elasticity of the mucus increase and make mucociliary and cough clearance more difficult (Tambascio et al., 2013

Lipids 64 , 129142 (1993)

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Diagnosis involves serum B12 measurement, full blood count, and investigation for underlying causes including intrinsic factor antibodies for pernicious anaemia

pylori in humans 4,5