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Because escitalopram affects serotonin pathways and liver metabolism, it is important to consider how it may interact with other commonly used medicines, including those taken for allergies

Van Der Auwera I, Wera S, Van Leuven F, Henderson ST

DOI: 10.1038/s41598-024-66034-9

Here's specifically what's done to lower it: Critical View of Safety: the key structures (cystic duct and cystic artery) are clearly identified and freed of surrounding tissue before anything is cut, which is the single biggest safeguard against bile duct injury