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This timeline is consistent with a possible drug-related effect, though a case report alone cannot establish causation
It binds to toxins, making them water-soluble so they can be excreted through the kidneys or bile
If tiredness continues beyond the initial months of treatment, becomes progressively worse, or significantly impairs daily functioning, it may indicate inadequate nutrition, dehydration, electrolyte disturbances, uncontrolled diabetes, thyroid dysfunction, anaemia, or other medical conditions requiring investigation
The main concern is pulmonary aspiration risk
doi: 10.1681/ASN.2008070669 119
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