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Acta Pharmaceutica Sinica B 11(12):37403755
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Furthermore, brain injuries such as stroke can damage vagus nerve structure or function, impairing swallowing and weakening anti-inflammatory pathways, leading to pulmonary immunosuppression and an increased risk of bacterial pneumonia [283]

However, these improvements may be temporary as one study found 71% of women experienced symptom reduction at six months, but the proportion declined to 51% at 12 months (Stewart 2006)