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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

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These markers guide providers in determining whether standard or higher-dose protocols are appropriate

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Step 4: Probability = (2C2 * 18C3) / 20C5

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Tesamorelin is a stabilized GHRH analog that stimulates pituitary growth-hormone release, raising IGF-1 and driving visceral-fat lipolysis

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