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Unexplained Neck, Shoulder, or Upper Back Pain? It might not be your spine it could be referred pain from your liver or gallbladder. Your gallbladder is a small sac under your rib cage that works with your liver to digest fat. When you eat, it releases bile — a mix of cholesterol and bile salts into your small intestine. But here’s the catch When cholesterol levels are too high and bile salts are too low, bile sludge or gallstones can form. This buildup can press on the phrenic nerve, which runs
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