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Some of these have more evidence than others, and part of this articles goal is to sort through whats backed by research and whats anecdotal

Prospective patients should prepare the following documentation: Neurological Imaging: Recent MRI, fMRI, or PET scans of the brain to evaluate neural integrity and inflammation in the hypothalamus, amygdala, and prefrontal cortex

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[1] However, treatment options for NASH are limited

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This is more of a long-term concern than an immediate cause of early fatigue, but its worth considering if tiredness persists or worsens after several months of treatment