However, in primary care fat black girls symptoms liver disease
girls with fat asses , what are fatty acids , drug induced fatty liver, spider angiomas, miss plump , plump jack squaw valley inn , beta oxidation of fatty acids , alcohol related fatty liver, bbw plump , symptoms liver disease, fatty mcblog , plump ebony , proteomic biomarkers, plump girl , medicine articles, Serologic testing Other causes of liver disease can usually fat black girls be excluded through history taking, examination and serologic testing. In the presence of elevated liver aminotransaminase levels, it may be possible to exclude viral hepatitis, hemochromatosis, fat black girls autoimmune hepatitis, chronic cholestatic disease, 1-antitrypsin deficiency and Wilson's disease through appropriate serologic testing. Management Weight loss and pharmacotherapy The aim of treatment is to slow the progression of NAFLD and to prevent liver-related illness and fat black girls death. However, because disease progression is slow and the magnitude of disease-related morbidity and mortality is uncertain, it is unclear which patients will benefit most from treatment. In addition, most therapeutic trials to date have been uncontrolled, of short duration and lacking histologic end points, which has led to limited treatment recommendations.74 Studies involving more than 10 participants, lasting longer than 6 months and having histologic end points are reported in Table 2.14,15,75,76,77,78,79,80,81,82,83,84,85,86
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However, in primary care settings where NAFLD is common, a positive ultrasound result in association with metabolic risk factors in the absence of viral symptoms liver disease serologic evidence of chronic liver disease is symptoms liver disease likely to be adequate for diagnosis. symptoms liver disease In addition to confirming the clinical diagnosis, liver biopsy is valuable for excluding other liver disease and for monitoring disease progression.71 It provides prognostic information by distinguishing steatosis from NASH and by determining the stage of fibrosis. However, sampling error may lead to variation of one fibrosis stage in 24%– 37% of biopsies.72 Liver biopsy may also be useful when the diagnosis is uncertain (e.g., in the presence of autoantibodies62 or elevated iron indices), before participation in a clinical trial or when there is concern of advanced fibrosis, which may alter patient screening and surveillance.73 The decision to perform a biopsy should be made on an individual basis and discussed with the patient, with the benefits weighed against the small but definite risks of harm.
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