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If cholecystectomy is needed, have the surgery and recover before beginning the medication

Additional improvements were seen in FibroScan liver fat and stiffness measures, liver volume reductions by MRI, and meaningful weight loss across groups by 14.80% in those without cirrhosis, 10.40% in Child-Pugh A, and 8.69% in Child-Pugh B

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Monitoring closely during dose increases is especially helpful, since most side effectsincluding palpitationsare more likely to appear when the dose changes

However, significant questions remain about whether berberine patches actually work