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doi: 10.1016/0006-2952(96)00241-9

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Specifically, high intakes of calories, carbohydrates, saturated fats, and sugar coupled with low intake of fiber have been linked to increased risk, while consumption of polyunsaturated fats, fiber, fish, fruits and vegetables, and nuts have been associated with lower risk (Pak 2016)

Charles Bluestone doesn't even know what "PSOM" stands for What do you get when a medical researcher who thinks chimpanzees are in his own pedigree and that the cavalier King Charles spaniel "has been bred over 300 years to have a short snout", decides to solve the mystery of what he calls " persistent secretory otitis media" in our breed