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10.1016/j.acthis.2010.01.001 [DOI] [PubMed] [Google Scholar] Santulli P., Even M., Chouzenoux S., Millischer A.-E., Borghese B., de Ziegler D., et al

However, if accompanied by severe abdominal pain, persistent vomiting, bloody stools, or significant weight loss beyond expected therapeutic effects, medical evaluation is warranted to rule out other gastrointestinal conditions

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