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Even though vomiting is the distinctive feature of CVS, abdominal pain is observed in up to 80% of patients.76 Other symptoms are photophobia, sensitivity to sound, and autonomic symptoms (diaphoresis, sialorrhea, pallor, and lethargy).27 Patients also describe the behavior of drinking and gulping down and drink large quantities of water and then try to induce vomiting, which they say gives them relief (this should not be misinterpreted as a psychologic/psychiatric disorder).63 In addition, anatomic/organic causes that produce a similar symptomatology must be ruled out

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In most studies, it is associated with a normalization of transaminases and, to a lesser extent, with histological and IR improvement.4446 Metformin has been associated with a reduced risk of HCC.47Two recent studies have shown that this drug reduced incidence of liver complications and increased survival of patients with liver cirrhosis