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8% vs. 33.3%) than controls. Adjusting for age, gender, race, smoking, and Helicobacter pylori, percent kcal from carbohydrates (T3 vs. T1 OR 1.35, 95% CI 1.08-1.67), fruit intake (T3 vs. T1 OR 1.28, 95% CI 1.02-1.61), and fiber intake (T3 vs. T1 OR 1.37, 95% CI 1.04-1.8 were associated with GIM. In subgroup analyses, these associations were primarily seen in non-White patients. Conclusions Few dietary factors, including high carbohydrate intake, are associated with increased risk of GIM in US populations, independent of H. pylori or s