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A balanced, nutrient-dense approach to calorie reduction rather than severe restriction significantly reduces the risk of these deficiencies developing

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For fatty liver disease itself , NICE guideline NG49 recommends risk stratification in primary care using the FIB-4 score initially, followed by the Enhanced Liver Fibrosis (ELF) test if indicated, to identify patients at higher risk of advanced fibrosis who may require specialist referral

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