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[PubMed: 34882134] (39 year old woman developed nausea and vomiting 6 weeks after starting ashwagandha [154 mg] on alternative days for anxiety [bilirubin 9.0 rising to 19.1 mg/dL, ALT 1514 U/L, Alk P 184 U/L, prothrombin time 14 sec], with slow recovery on ursodiol therapy)