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Additionally, research has demonstrated that bilirubin can negatively affect auditory abilities

Neuropharmacology 60, 712719

Ding L, Zhang F, Zhao M-X, Ren X-S, Chen Q, Li Y-H et al (2016) Reduced lipolysis response to adipose afferent reflex involved in impaired activation of adrenoceptor-cAMP-PKA-hormone sensitive lipase pathway in obesity