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Known history or presence of severe acute or chronic liver disease (compensated or decompensated), known cholelithiasis or cholecystitis or bile duct disease, acute or chronic pancreatitis (or medication associated with severe pancreatitis, such as valproate) or severe gastrointestinal dysmotility syndrome, including functional disorders such as severe irritable bowel syndrome

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Breaking this cycle requires conscious intervention: meditation, deep breathing, walking in nature, reduced caffeine, and sometimes professional support through therapy or counseling

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Common symptoms of this disease might include abdominal pain, nausea, vomiting, loss of appetite and fatigue

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