When intestinal muscles contract less frequently and forcefully, stool moves more slowly through the colon, creating the conditions for constipation
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60A Because most nutrients arrive through the portal vein, synthetic functions are also impaired, leading to hypoalbuminemia (contributing to ascites), decreased clotting factors (predisposing to bleeding), and reduced thrombolytic factors, such as antithrombin (predisposing to venous thrombosis)
When levels of vitamin B12, folic acid or vitamin B6 are low, homocysteine levels rise and hyperhomocysteinaemia can develop
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Contact your GP or prescribing clinician if you experience: Thyroid-related concerns : A lump or swelling in the neck , difficulty swallowing, or persistent hoarsenessthese require urgent evaluation to exclude thyroid pathology