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Rama, back from the zoo in Tacoma only a few weeks and still nervous, was darting back and forth in a quarantine room, his trunk wild and fast

It represents a spectrum of conditions, from simple steatosis (fat accumulation alone) to non-alcoholic steatohepatitis (NASH), where inflammation and liver cell damage occur alongside fat accumulation

For someone with a lower tolerance, that matters more than the big number on the front of the bottle

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