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Opioids such as tramadol are not recommended due to the high incidence of adverse events and addiction (10)
Bile duct problems: If GGT is elevated along with ALP (alkaline phosphatase), it may signal bile flow issues such as gallstones or liver congestion
You know exactly what you will pay regardless of your dose, and that eliminates the unpleasant surprise of increasing costs as your treatment progresses
Rezaie P, Bitarafan V, Rose BD, et al
& Hwang, B
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