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Hormonal changes in women, generally related to pregnancy or oral contraceptives, can trigger melasma that may affect the lips, Dr

Immediate medical attention is warranted if any of the following symptoms develop: Jaundice : yellowing of the skin or whites of the eyes, which may indicate significant liver dysfunction or bile duct obstruction Severe abdominal pain : particularly in the right upper quadrant or pain radiating to the back, which could suggest gallbladder problems, pancreatitis or other hepatobiliary complications Fever with abdominal pain : which may indicate cholecystitis (gallbladder inflammation) Dark urine accompanied by pale stools : suggesting impaired bile flow Unexplained bruising or bleeding : potentially indicating reduced synthesis of clotting factors by the liver For these symptoms, patients should contact NHS 111, seek same-day GP assessment, or attend A&E if symptoms are severe

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injection of CCK, the number of Fos immunoreactive nuclei was counted in maximum projection confocal images through each region aided by Volocity software

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