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Studies show that as many as 29% of adults fall into this category.43 But because people who do not have NAFLD may have elevated ALT levels, and because the disease plump galleries also may be present whether or not a person has elevated enzyme levels44—NAFLD is found in as many as 30% of people with normal ALT levels45—further laboratory testing plump galleries is always necessary. The next step in the diagnosis process usually is to screen the liver by ultrasound (sonography), plump galleries which uses harmless sound waves to show images of the organ. When a large amount of fat has accumulated in the liver, it may show up as enlarged and will appear “brighter” than the kidneys on the ultrasound screen;46however, moderate amounts of fat may not be detected by an ultrasound screening.
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