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This paper is cited extensively across subsequent reviews including Paschou 2025 and Ridha 2024 as the underlying primary evidence for the proposed cellular mechanism

Signs of Liver Damage Patients must be educated to report: fatigue anorexia nausea/vomiting dark urine jaundice right upper abdominal pain itching --- 11
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The equity impact of brief opportunistic interventions to promote weight loss in primary care: secondary analysis of the BWeL randomised trial

If you experience troublesome side effects, discuss them with your healthcare professional rather than changing your dosing schedule independently

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