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Risk factors include: Celiac disease Pancreatic insufficiency Gallbladder or bile flow problems Cholestatic liver disease Cystic fibrosis Short bowel syndrome Bariatric surgery Chronic diarrhea Very low-fat diets If a patient has neuropathy, ataxia, balance problems, and evidence of fat malabsorption, vitamin E should be checked

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222 In addition, a sense of personal resiliency in the face of negative emotions has been correlated with lower tinnitus-related annoyance, suggesting strategies that build self-resiliency may be helpful to individuals learning to live with tinnitus

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