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After graduating medical school from the University of Hawaii, he completed residency training in Occupational and Environmental Medicine from the University of Utah where he also earned a master's degree in Occupation Health

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The symptoms are caused by an exaggerated spillover of bile acids from the small intestine to the large intestine due to increased bile acid synthesis in the liver and/or decreased reabsorption of bile acids in the small intestine

To further create incentives for the pharmaceutical companies to reduce their prices and for employers to share in the cost of these drugs, the Trump administration should agree, as the Biden administration did, to cover them under Medicare