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Why is itching worse at night with cholestasis? The itching may be worse at night and might disturb your sleep. This can make you feel tired and exhausted during the day. A few women with obstetric cholestasis develop jaundice (yellowing of the skin due to liver changes). Other signs of obstetric cholestasis are dark urine and pale bowel movements. Can a physician assistant see a new patient? Medicare rules do not require the physician to see or treat a patient or to be physically on site when a PA treats a patient if the service is billed to Medicare under the PA's name. PAs are authorized to treat new patients or established patients with new medical problems when billing under their name and NPI. Can magnesium cause gallstones? BACKGROUND: Magnesium deficiency can cause dyslipidemia and insulin hypersecretion, which may facilitate gallstone formation. However, the effect of long-term consumption of magnesium on the risk of gallstone disease is unknown.
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