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When to Seek Medical Advice If nausea or vomiting is severe and persistent If you cannot keep fluids down or lose weight unintentionally If you experience signs of pancreatitis (severe abdominal pain, fever, vomiting) If constipation lasts more than three days without relief Always discuss any concerning symptoms with your healthcare provider

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In milder cases, scaling may be diffuse and nonspecific, and resemble pityriasis capitis

J Biol Chem 2004;279:36608-15.PubMed 134

Native Americans are most commonly affected, followed by African-Americans and Hispanics [40]