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The patient was treated with thiamine, with improvement in mental status, ocular dysmetria, and ataxia, further supporting the diagnosis of thiamine deficiency

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While this mechanism can result in weight loss, it can also lead to gastrointestinal side effects such as: Nausea Diarrhea Vomiting Bloating Abdominal pain Constipation Sulfur burps (foul, rotten-egg-smelling burps) Acid reflux These adverse effects can be worsened if you overeat past the point of feeling full

We limited the study cohort to patients with at least 1 year of follow-up before cohort entry (i.e

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