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A very typical case of severe cholestasis due to anabolic steroid use.  Because the steroids were being used without medical supervision, the dose and actual duration of use of each preparation was unclear, but cholestasis usually arises within 4 to 12 weeks of starting a C-17 alkylated androgenic steroid.  The jaundice can be severe and prolonged and accompanied by severe pruritus and marked weight loss.  The serum enzymes are typically minimally elevated except for a short period immediately after stopping therapy.  The pattern of enzyme elevations can be hepatocellular, cholestatic or mixed.  Liver biopsy shows a “bland” cholestasis with minimal inflammation and hepatocellular necrosis.  Ma Huang has also been implicated in cases of drug induced liver injury, but is associated with an acute hepatocellular pattern of injury.

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And when the Giants actually did make progress, they went on to sabotage themselves. With less than a minute left in the first quarter, after the Panthers failed to handle a Steve Weatherford punt, Larry Donnell recovered the ball at his own 38, but a Will Beatty holding penalty wrecked the drive, resulting in a three-and-out.
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The fact that college students today don’t have the competency to engage in verbal communication preferring text to talking even with the convenience of cell phones now. Let alone they’re growing up in a society that leads them to believe they’re entitled before ever accomplishing anything. I think it’s safe to say it will be hard for the human race to save itself from this problem. I’m glad I still write letters, read actual books on paper, draw with pencil rather than with a mouse…it’s OK to embrace technology but people today are so caught up in useless garbage.

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