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To diagnose hepatic steatosis, it is necessary to demonstrate fat accumulation in more than 5% of hepatocytes on histopathological examination, in the absence of significant alcohol consumption or other causes of liver injury or steatosis, or to detect more than 5.6% fat using proton magnetic resonance spectroscopy (H-MRS) [19]

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In support, the creatine kinase concentrations were low (~ 350 UL 1 ), which compared to other literature, values greater than 1000 UL 1 are typically seen (Inman et al

[PubMed: 19412173] [CrossRef] 83

Brownawell, A