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Request comprehensive metabolic panels every 3-6 months that include: ALT and AST: Primary markers of liver cell damage GGT (gamma-glutamyl transferase): Sensitive marker for alcohol-related liver stress Bilirubin: Measures livers ability to process waste products Albumin: Indicates livers synthetic function Elevated GGT combined with normal or slightly elevated ALT/AST is a pattern that suggests alcohol-related liver stress even when other markers look acceptable

Its up to the patient

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Symptoms of gallstones include: If left untreated, gallstones can cause the gallbladder to rupture, pancreatitis, and infections

Order the 32mg pen for protocol initiation, dose-finding work, and short pilot runs