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These include chronic infections (e.g., HIV and hepatitis C), inherited or acquired metabolic disorders such as lipodystrophy (Lawrence syndrome) and cachexia (wasting syndrome), surgical interventions like intestinal bypass, and hepatotoxic agents including tamoxifen, tetracycline, valproic acid, and vinyl chloride [22]

All of these costs can easily add up to over $1,000 to $2,000 or more over the year

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