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You should be referred to hepatology if you have elevated fibrosis risk on FIB-4 or ELF testing, signs of liver decompensation (jaundice, ascites, confusion, bleeding), or complex management needs

Consistency matters more than timing

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Track multiple blood markers that show whats actually happening inside your cells

Department of Health and Human Services, ods.od.nih.gov/factsheets/Carnitine-HealthProfessional/

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