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These effects have been verified in animal models of AIH [183]

Urgent red-flag symptoms seek immediate medical attention: Persistent or severe vomiting after surgery, sudden confusion, problems with balance or coordination, visual disturbances, or rapidly worsening weakness or numbness may indicate acute thiamine (vitamin B1) deficiency, which can cause a serious neurological condition called Wernicke's encephalopathy

No you would give them the advice to go see their GP as we cannot replace the role of a doctor as they may need some investigations

Understanding what to expect at each stage of escalation helps you distinguish between normal adaptation and signals that something is wrong