What failure looks like at Step 3: Gallbladder wall thickening 4 mm with pericholecystic fluid, dilated CBD, elevated bilirubin, lipase above three times the upper limit of normal, or fever
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Ultrasound will also assess for the presence of any heel bursitis, which can be seen in association with insertional Achilles tendon problems
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More than 3000 mg per day increases the risk of adverse effects