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Evaluating these trial metrics through a biomechanical and neurotologic lens clarifies the precise clinical role for SPI-1005: It acts as a selective metabolic protector for auditory tissue hardware, yet it remains incapable of resolving mechanical endolymphatic pressure shifts or underlying sensory integration deficits

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There is very good evidence that laryngopharyngeal reflux, an important source of irritation in the larynx, contributes significantly to the formation of a granuloma