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The principal and well-known mycotoxins produced by the Aspergilli are ochratoxin A (OTA) and aflatoxins (AFs), as well as less-prominent toxins like patulin (Keller et al., 2005)

doi:10.1098/rsob.150272

10.1016/S1474-4422(08)70164-9 52 MarinhoHS.RealC.CyrneL.SoaresH.AntunesF

The mechanism is straightforward: IBS patients already have heightened visceral sensitivity and exaggerated smooth muscle response to acetylcholine, so the choline-driven motility increase from Lipo C amplifies existing symptoms