WEEK-# 7 The Thrice-Hit Liver: Unraveling
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Autoimmune, Alcohol, and Metabolic Overlap i
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n a 65-Year-
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Old with Fatigue" for its precision, educational v
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alue, and memorability.
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, Doctor: Good morning. I’m Dr. Smith. What brings you in today?
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Patient: Good morning, doctor. I’ve been feeling very nauseated and extr
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emely tired lately. v v
Doctor: I’m sorry to hear that. When did these symptoms start?
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Patient: About three weeks ago. They’ve been getting worse little by little
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.
Doctor: Which symptom bothers you more—the nausea or the fatigue?
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Patient: The fatigue, definitely. I feel exhausted even after resting.
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Doctor: Is the nausea constant, or does it come and go? Patient: I
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t comes and goes, but it’s worse in the mornings. Doctor: Have yo
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u had any vomiting?
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Patient: No vomiting, just a constant feeling like I might throw up.
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Doctor: Does eating affect the nausea?
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Patient: Sometimes eating makes it worse, so I don’t eat much lately. Doc
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tor: Have you noticed any abdominal pain, heartburn, or bloating? Patien
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t: No real pain, just some discomfort and no appetite.
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Doctor: Let’s talk about the fatigue. Does resting help at all?
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Patient: Not really. Even after sleeping, I still feel drained.
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Autoimmune, Alcohol, and Metabolic Overlap i
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n a 65-Year-
v v
Old with Fatigue" for its precision, educational v
v v v v v v v
alue, and memorability.
v v
, Doctor: Good morning. I’m Dr. Smith. What brings you in today?
vv v v v v v v v v v
Patient: Good morning, doctor. I’ve been feeling very nauseated and extr
v v v v v v v v v v
emely tired lately. v v
Doctor: I’m sorry to hear that. When did these symptoms start?
v v v v v v v v v v
Patient: About three weeks ago. They’ve been getting worse little by little
v v v v v v v v v v v
.
Doctor: Which symptom bothers you more—the nausea or the fatigue?
v v v v v v v v v
Patient: The fatigue, definitely. I feel exhausted even after resting.
v v v v v v v v v
Doctor: Is the nausea constant, or does it come and go? Patient: I
v v v v v v v v v v v v
t comes and goes, but it’s worse in the mornings. Doctor: Have yo
v v v v v v v v v v v v
u had any vomiting?
v v v
Patient: No vomiting, just a constant feeling like I might throw up.
v v v v v v v v v v v
Doctor: Does eating affect the nausea?
v v v v v
Patient: Sometimes eating makes it worse, so I don’t eat much lately. Doc
v v v v v v v v v v v v
tor: Have you noticed any abdominal pain, heartburn, or bloating? Patien
v v v v v v v v v v
t: No real pain, just some discomfort and no appetite.
v v v v v v v v v
Doctor: Let’s talk about the fatigue. Does resting help at all?
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Patient: Not really. Even after sleeping, I still feel drained.
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