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| fat girls and feeders , queen fat bottom girls , pleasingly plump , hcv treatments, impaired liver function, plump fuck , plump girls galleries , immunization, refsum disease, poynard, plump buttocks , liverdisease, plump djs , iv drugs, plump teens , | Most of the other liver blood tests (e.g., bilirubin and alkaline phosphatase) are usually normal in patients with NASH. Gammaglutamyltranspeptidase (GGTP), however, is typically moderately elevated. Serum ferritin (a protein involved in iron storage and inflammation) can be significantly elevated, but transferrin saturation is usually normal. These iron studies suggest the presence of only mild, plump movies if any, deposition of iron in the plump movies liver (iron overload). Abnormal biochemistry tests associated with insulin resistance include elevated total cholesterol, low-density lipoprotein (LDL, the so-called plump movies bad cholesterol), triglycerides, and blood sugar and decreased high-density lipoprotein (HDL, the good cholesterol). |
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| In the absence of any specific clinical or biochemical signs, NASH remains a diagnosis that is made after excluding other causes of fatty liver and other causes of elevated liver enzymes. The most frequent biochemical abnormality in the blood in NASH is persistent, poynard mild to moderately elevated transaminases (ALT poynard and AST). Transaminases poynard are the liver enzymes that are most often elevated in the various types of hepatitis. (Remember that hepatitis refers to inflammation of the liver.) In NASH, their levels tend to fluctuate from month to month, and most often the ALT is greater than the AST. This is different from alcoholic liver disease (ALD), in which the AST is usually greater than the ALT. Indeed, this fortuitous finding often leads to initially considering the diagnosis of NAFLD or NASH. Unfortunately, however, no biochemical test or imaging procedure can differentiate simple fatty liver from NASH. |
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