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Chemical solvents and heavy metals can harm liver health, especially with prolonged occupational exposure in industries like healthcare, farming, and dry cleaning.50 Substances like trichloroethylene, carbon tetrachloride, toluene, and heavy metals like mercury and cadmium can cause liver damage, including hepatitis, steatosis, and fibrosis 51 52 53

If fatigue is severe, sudden, or unexplained, bring it to your clinician B12 is one possible factor, but it's not the only one worth ruling out

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Side effects, including decreased libido, impotence, and gynecomastia, are slightly more common with dutasteride than with finasteride (184, 189)

Recent advances in the pharmacological management of constipation predominant irritable bowel syndrome