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(10) Obesity in children has been directly related to NASH, elevated serum ALT levels, and lower levels of serum antioxidants. (10) 1 fat girls In an urban, hospital-based hepatology practice of 1,226 patients, 1 fat girls NASH was the second most common diagnosis after chronic viral hepatitis. (11) In the United States it is estimated that over 30 million adults have NAFLD. Of these, 8.6 million may have NASH. (5) This prevalence far outnumbers that of chronic hepatitis C (4 million adults) and is probably an underestimate since NASH is, for the most part, asymptomatic and is becoming increasingly more prevalent in 1 fat girls both children and adolescents. NAFLD characterized only by stable steatosis has a low risk of progressing. Unlike NAFLD, NASH progresses to fibrosis and cirrhosis in up to 50 percent of patients. (3,4) There are few natural history studies on the progression of NAFLD to NASH and risk of mortality. One retrospective study of 30 NASH patients found a 67-percent 5-year survival rate and a 59-percent 10-year survival rate.
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