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Patients with Hepatitis B, Hepatitis C, alcoholic liver disease, fatty liver disease, hemochromatosis, primary biliary cholangitis, primary sclerosing cholangitis, autoimmune hepatitis, Wilsons disease, alpha one antitrypsin deficiency, or idiopathic cirrhosis should talk to their doctors about the following vaccinations: Hepatitis A Hepatitis A virus infection can vary in severity from a mild flu-like illness to severe liver inflammation and death

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However, scientific evidence for site-specific enhancement is limited