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those at intermediate or high risk may proceed to Enhanced Liver Fibrosis (ELF) testing or FibroScan, with referral to hepatology for those with suspected advanced fibrosis, in line with NICE guidance (NG49)

In addition to enzymes, liver-derived metabolites such as branched-chain amino acids (BCAAs) and ammonia are critically involved in AD-related cognitive dysfunction

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They found a useful target: glucagon-like peptide-1 (GLP-1), a gut hormone

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Hepatol Res