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Vitamin E and ursodeoxycholic acid have shown improvement in specific populations. Surgical Care: Bariatric surgerySeveral studies are emerging that indicate fatty acid analysis that bariatric surgery with fatty acid analysis appropriate weight loss results in fatty acid analysis both chemical improvement and histologic improvement of NASH.Early studies reporting possible worsening hepatic function after rapid weight loss have not been substantiated. This may be a viable option in the appropriate candidate.Consultations: The only way to firmly diagnosis NASH is with a liver biopsy. Often, a clinical picture of obesity, hypertriglyceridemia, and elevated transaminases is enough to conclude that a patient has NASH. However, underlying alcohol or other drug ingestion as well as smoldering autoimmune or hemochromatosis must be ruled out.
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