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Healthcare professionals should enquire about symptoms potentially indicating liver or biliary dysfunction, including: Persistent fatigue or malaise Right upper quadrant abdominal pain, particularly after meals Fever with abdominal pain (suggesting possible cholecystitis) Jaundice (yellowing of skin or eyes) Dark urine or pale stools Unexplained bruising or bleeding Patients should be educated about these warning signs and advised to report them promptly

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Or, at any time, simply by suicide