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In terms of morphological identification, a local Chinese botanical medicine standard ( Gansu Provincial Standard of Chinese Medicinal Materials, 2020 editio n) defines the appearance and microscopic characteristics of the dried leaves (Figures 6, 7)

Phenobarbital is a medication that can increase the breakdown and metabolism of several B vitamins, including thiamine (B1), riboflavin (B2), niacin (B3), pyridoxine (B6), biotin (B7), folic acid (B9), and cobalamin (B12)

29 Serum liver enzyme activity may be mildly to moderately increased, although it is normal in many cases.28, 29, 30 Abdominal ultrasound often reveals evidence of EHBDO.28, 29, 30 Definitive diagnosis by identification of flukes or fluke eggs in the feces is difficult as small numbers of eggs are shed daily, the eggs have varying morphology at different stages of development, and the eggs are quite small