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Related ArticlesAlcoholic Fatty Liver asa Alcoholic Hepatitis Autoimmune Hepatitis Celiac Sprue Cirrhosis Hemochromatosis Hepatitis B Hepatitis C Hepatitis, Viral Continuing Education CME available for this topic. Click here to take this CME. Patient Education Liver, Gallbladder, and Pancreas CenterHepatitis CenterCirrhosis Overview WORKUP Section 5 of 10 Author Information asa Introduction Clinical Differentials Workup Treatment Medication Follow-up Miscellaneous Bibliography No laboratory studies can help definitively establish a diagnosis of fatty asa liver or NASH.AminotransferasesThe only abnormality may be an elevated aspartate aminotransferase (AST) or alanine aminotransferase (ALT) level. These may be elevated as much as 10-fold. However, the AST and ALT may be normal in some patients with fatty liver or NASH.In the absence of cirrhosis, an AST-to-ALT ratio of greater than 2 suggests alcohol use, whereas a ratio of less than 1 may occur in patients with NASH.Alkaline
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