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If a person solutions sure to both of those questions, then the guidelines recom-mend that a practitioner who’s competent to carry out a psychological health evaluation should evaluation the persons mental state and related practical, interpersonal and social difficulties. Box 12000, Jerusalem 91120, Israel 2Department of Pathology, Hadassah-Hebrew University Medical Center, Jerusalem, Israel 3Department of Medicine, Hadassah-Hebrew University Medical Center, Jerusalem, Israel 4Ministry of Health, Israel 5Institute of Gastroenterology, Assaf Harofeh Medical Center, Zeriп¬Ѓn, Israel See Editorial, pages 444–446 Background/Aims:Nutritional supplements are regularly considered to be harmless but indiscriminate use of unlabelled elements may lead to signiп¬Ѓcant adverse reactions. 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