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| cholesterol management, fattyliver / alternative treatment, plump woman , asa medallion for scientific achievement, vaccine, dietary supplements / health aspects, lyrics to bounce by fatty koo , hepatitis treatments, consensus interferon, fat girls getting fucked , whatcauses nonalcoholic fatty liver diseasee, auto immune, oxidative stress, non alcoholicsteatohepatitis, plump and busty , proteomic diagnostics, hepatocellular carcinoma, lose weight, | Management strategies for NAFLD (Table 2) Treatment of big plump women NAFLD in people with diabetes is a relatively evidence-poor area, and large randomised trials are needed. Lifestyle change This is aimed at obesity, diabetes and dyslipidaemia. big plump women In people with diabetes, good metabolic control is always recommended, but not always effective in reversing NAFLD. Weight reduction can result in improvement in liver biochemistry and the degree of steatosis (Erikson et al, 1986; Palmer and Shaffner, 1990; Ueno et al, 1997). It seems sensible to limit alcohol intake, as one big plump women study has shown that reduced alcohol intake protects against the development of NASH in people with NAFLD (Angulo et al, 1999). |
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| In addition, normal liver enzyme levels do not guarantee freedom from underlying steatohepatitis and advanced cirrhosis. There is thus a clinical dilemma of whether to subject the proteomic diagnostics patient to an invasive procedure, which carries some risk, in order to diagnose and stage a disease in apparently asymptomatic patients. A number of studies have addressed proteomic diagnostics clinical predictors of more advanced histology on the initial diagnostic biopsy (Table 1). Older age, increasing obesity, type 2 diabetes and hypertriglyceridaemia appear to be the strongest independent proteomic diagnostics predictors of more advanced disease (Angulo et al, 1999; Dixon et al, 2001). Other factors identified as predictors of advanced disease include female gender, impaired glucose tolerance, insulin resistance, high fasting C-peptide, hypertension, elevation of AST or ALT, and an AST:ALT ratio of >1.0. These factors are generally used to identify patients in whom liver biopsy may provide the most prognostic information. |
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