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In some of such embodiments, a low viscosity otic formulation or device is administered in combination with an external otic intervention, e.g., a surgical procedure including but not limited to middle ear surgery, inner ear surgery, typanostomy, cochleostomy, labyrinthotomy, mastoidectomy, stapedectomy, stapedotomy, endolymphatic sacculotomy, or the like

(2009b)

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Choline enables the liver to metabolize fats effectively, inositol aids in the production of bile necessary for digesting fats, and methionine assists in the detoxification of harmful toxins