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Because metabolic syndrome itself contributes to biliary disease, improved glycemic control may ultimately reduce long-term hepatobiliary risk despite short-term fluctuations

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It is documented in hypothyroid patients treated with levothyroxine (LT4) [14], in menopause [7], central disorders of hypersomnolence (such as narcolepsy and idiopathic hypersomnia), multiple sclerosis, lupus erythematosus [15], depression [16], and celiac disease [18]

But what Toby did not consider (or may not have known) is that quitting an antidepressant suddenly can cause an array of troubling symptoms, including irritability, anxiety, insomnia and nausea not to mention a relapse of depression

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