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The absence of a positive Glu/GABA relationship in OCD within the SMA is consistent with other evidence in this study that clinical symptoms are associated with Glu levels in the SMA and with substantial evidence in OCD of BOLD hyperactivity, increased functional connectivity, exaggerated error-related and readiness potentials in the SMA as well as in the ACC 6,19,21,57

Longstanding postulates include retrograde menstruation with refluxed menstruum implanting on pelvic structures, coelomic pluripotential mesothelial cells lining the peritoneum undergoing metaplasia into endometrial tissue, and implantation of cells through hematogenous or lymphatic embolization

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