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10.1053/jhep.2001.27811 92 PoissonJ.LemoinneS.BoulangerC.DurandF.MoreauR.VallaD.et al (2017)

Those huge metabolic fluctuations arent good, he adds

Red flag symptoms requiring urgent medical attention include: Severe, persistent abdominal pain, especially if radiating to the back and accompanied by vomiting (possible pancreatitis) Pain in the upper right abdomen, fever, or yellowing of the skin/eyes (possible gallbladder disease) Blood in vomit or stools Signs of severe dehydration (dark urine, dizziness, confusion) High fever (above 38C) accompanying digestive symptoms Unexplained weight loss beyond expected treatment effects Severe, persistent diarrhoea lasting more than 48 hours If you experience these red flag symptoms, call NHS 111 for advice or 999 in an emergency

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