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Are they impacting my gut microbiome

Yes, exciting research suggests that certain modern therapies can help stimulate mitochondrial function and increase ATP production

While purely elastic materials recover their shape following stress application, viscoelastic materials display (a) a time-dependent stress decrease in response to a constant strain (aka stress relaxation), (b) a time-dependent strain increase under constant stress (aka creep), and (c) an energy dissipation and a delayed response as the materials undergo loading and unloading (aka hysteresis) [137]

Effects of topiramate on sustained repetitive firing and spontaneous recurrent seizure discharges in cultured hippocampal neurons

PMID: 28805671