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Master the board step 3

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Gastroenterology<br />

Diagnostic Testing<br />

··<br />

Best initial test: ALT > AST<br />

··<br />

Most accurate test: Liver biopsy showing fatty infiltration. The liver biopsy<br />

looks just like alcoholic liver disease.<br />

Treatment<br />

No specific <strong>the</strong>rapy exists to reverse NASH. Control <strong>the</strong> underlying causes<br />

with weight loss, diabetes control, and management of <strong>the</strong> hyperlipidemia.<br />

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