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Below the dam, the river is hemmed into a narrow channel between levees, and nearly all of its flow is shunted into a vast network of irrigation canals

Abdominal distension, feeding difficulties, constipation, hepatomegaly, and other gastrointestinal manifestations may also be present [14]

You can verify the first value: 11 = 1 , the second: 12 + 11 = 3 , and so on