fibroscan score fatty liver cap

Disclaimer. I called today my GI DR office again this was my 4th call asking what my CAP score was from my fibroscan. endobj A. In general, some variables including age, sex, race, weight, height and body composition have been recognized as the most important predictive factors for BMR19. Background and Aims: FibroScan is used to determine liver stiffness and controlled attenuation parameter (referred to as CAP) scores in patients, including those with chronic hepatitis B (CHB). Lancet Gastroenterol Hepatol. Changes in eating habits and physical activity after COVID-19 pandemic lockdowns in Italy. The table below shows ranges of CAP scores and the matching steatosis grade and amount of fatty change. Proportion of NAFLD patients with normal ALT value in overall NAFLD patients: A systematic review and meta-analysis. Resting energy expenditure is not increased in mildly hyperglycaemic obese diabetic patients. . PNN, MS, CF-P, and JJD wrote the manuscript. 7(3), 476487 (2016). Background: Accuracy of FibroScan Controlled Attenuation Parameter and Liver Stiffness Measurement in Assessing Steatosis and Fibrosis in Patients With Nonalcoholic Fatty Liver Disease. Fasting hyperglycemia predicts lower rates of weight gain by increased energy expenditure and fat oxidation rate. Epub 2011 Sep 15. Factors related to hypermetabolism in individuals with type 2 diabetes mellitus and non-alcoholic fatty liver disease. Univariate logistic regression analysis was used to identify potential variables that have an effect on hypermetabolism. J. Clin. The views expressed are those of the authors and not necessarily those of the UK National Health Service, the NIHR, or the UK Department of Health. Products in the FibroScanrange are Class IIa medical devices as defined by Directive 93/42/EEC (EC 0459). During the procedure, the doctor will place a small probe on your skin. 2012 Jul;32(6):875-7. doi: 10.1111/j.1478-3231.2012.02824.x. The CAP was significantly correlated with the percentage of steatosis ( = 0.47) and steatosis grade ( = 0.51; both P < 0.00005). Investig. Diabetes Res. To use the table, find the liver disease that you have on the left side of the table. Controlled attenuation parameter-insulin resistance (CIR) score to predict non-alcoholic steatohepatitis. Clayton-Chubb D, Kemp W, Majeed A, Lubel JS, Hodge A, Roberts SK. << Nutr. Reduced rate of energy expenditure as a risk factor for body-weight gain. Bariatr. Engelen, M. P. et al. Written informed consent was obtained from all participants. the best experience, we recommend you use a more up to date browser (or turn off compatibility mode in Publication Arslanow et al. doi: 10.5005/jp-journals-10018-1364. Int. Clin. Most patients with the presence of a metabolic syndrome. Am. If you have more than one liver disease, you may not be able to use the table. Please enable it to take advantage of the complete set of features! BMC Sports Sci. Diabetes Care 40, S11S24 (2017). If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. Hepatol. Echosens and UK National Institute for Health Research. Piaggi, P. et al. Your fibrosis result may be over-estimated (your liver may have less scarring than what your fibrosis result says) if you have: Your FibroScan results may also be less accurate if you have: Fibrosis score F0 to F1: No liver scarring or mild liver scarring, Fibrosis score F2: Moderate liver scarring, Fibrosis score F3: Severe liver scarring Fibrosis score. Nutr. Kablawi D, Aljohani F, Palumbo CS, Restellini S, Bitton A, Wild G, Afif W, Lakatos PL, Bessissow T, Sebastiani G. Crohns Colitis 360. ADS Fatty liver can also happen during pregnancy, although this is uncommon. CAS Funding: Metab. 2023 Jan 21;14:20420188221145650. doi: 10.1177/20420188221145650. A p-value<0.05 was considered statistically significant. Non-alcoholic fatty liver disease is associated with higher metabolic expenditure in overweight and obese subjects: A case-control study. Federal government websites often end in .gov or .mil. In patients with NAFLD and T2DM, hypermetabolism has a direct association with adiponectin, physical activity, ALT and diastolic blood pressure, but a diverse relationship with FFM. Starling, R. D. Energy expenditure and aging: Effects of physical activity. Understanding Your Liver Elastography (FibroScan) Results, All rights owned and reserved by Memorial Sloan Kettering Cancer Center, 2023 Memorial Sloan Kettering Cancer Center, Human Oncology & Pathogenesis Program (HOPP), Gerstner Sloan Kettering Graduate School of Biomedical Sciences, High school & undergraduate summer programs, Using Your Liver Stiffness Result to Find Your Fibrosis Score, Conditions That Can Affect Your Fibrosis Results, Non-alcoholic Fatty Liver Disease (NAFLD or NASH). Pursuing basic and translational research across 9 programs and 100+ labs, Focusing on clinical cancer research and population health, Bridging the lab and the clinic through translational research, Fostering interdisciplinary collaborations between laboratory scientists and clinicians, Partnering with other academic and research institutions, Offering state-of-the-art resources for our researchers, Offering a curriculum with a focus on cancer, Connecting college seniors to future careers in biomedicine. Over 34% but less than 66% is moderate, while over 66% is severe. This cross-sectional study was conducted in accordance with the Declaration of Helsinki and was approved by the Ethics Review Board at the Tehran University of Medical Sciences (IR.TUMS.MEDICINE.REC.1399.1281). 35(8), 19831991 (2015). The multivariate logistic regression test was used for detecting factors associated with hypermetabolism. To find a location near you with a FibroScan machine, use Echosens locator, which can be found here. To assess the health of your liver, your doctor may recommend a FibroScan test, which is an ultrasound of the liver. 2022 Jul;12(Suppl 1):S26-S36. The speed of the shear wave is measured as it travels through your liver, generating two scores to determine overall liver health. Nonalcoholic Fatty Liver Disease Increases Cardiovascular Risk in Inflammatory Bowel Diseases. However, there is inadequate evidence regarding the threshold of blood glucose in which REE is increased38. Prevalence of NASH+NAS4+F2=15%. [4] Echosens, FDA Approves FibroScan for Non-invasive Liver Diagnosis, April 2013, https://www.prnewswire.com/news-releases/fda-approves-fibroscan-for-non-invasive-liver-diagnosis-203186961.html#:~:text=%2D%20Echosens%E2%84%A2%20is%20pleased%20to,technology%20in%20the%20United%20States. A 'normal' Fibroscan range tends to be between 2-7 with an average result being roughly around 5. Am. | Clinical and Translational Gastroenterology, 2016. volume13, Articlenumber:3669 (2023) Physiol. Sabounchi, N. S., Rahmandad, H. & Ammerman, A. Best-fitting prediction equations for basal metabolic rate: Informing obesity interventions in diverse populations. CAP value of 300 falls into S2/S3 stage. (D) Screen failure rate, missed cases rate, and proportion of patients identified, versus FAST scores values. Estimation of resting energy expenditure considering effects of race and diabetes status. Liver fat is increased in type 2 diabetic patients and underestimated by serum alanine aminotransferase compared with equally obese nondiabetic subjects. 2019 May;156(6):1717-1730. doi: 10.1053/j.gastro.2019.01.042. Would you like email updates of new search results? Inflammation as a link between obesity, metabolic syndrome and type 2 diabetes. /Filter /FlateDecode VW-SW reports personal fees from Echosens during the conduct of the study; and personal fees from 3V-BIO, AbbVie, Allergan, Boehringer Ingelheim, Gilead Sciences, Janssen, Novartis, Novo Nordisk, Perspectum Diagnostics, Pfizer, Terns, Bristol-Myers Squibb, and Merck; and grants from Gilead Sciences, outside the submitted work. JB reports personal fees from Echosens outside the submitted work. Huang, K. C. et al. Sign up for the Nature Briefing newsletter what matters in science, free to your inbox daily. Past, present and future perspectives in nonalcoholic fatty liver disease. /AIS false 11 0 obj /XObject << You will find your fibrosis score in the third column from the left. Doc says there is no need to do a biopsy at this point given the unremarkable or reassuring other test results. The table below shows ranges of CAP scores and the matching steatosis grade and amount of fatty change. Please enable it to take advantage of the complete set of features! 2022 Apr 15;17(4):e0266859. 3 0 obj Hepatol. J. Clin. 31(1), E24E29 (2008). eCollection 2022. Certain conditions can cause a liver stiffness result thats too high, which makes it incorrect. Med. Normal results are usually between 2 and 7 kPa. The first 5min were excluded from the analysis. J. Clin. An increase in protein turnover has been previously reported in chronic diseases44,45 as well as in diabetes46 and liver disease47. Your healthcare provider will use your CAP score to find out your steatosis grade. HHS Vulnerability Disclosure, Help [4] It is reimbursable by insurance. Med. All slopes are within an acceptable range (the CI includes one), except for the French bariatric cohort, which seems to be at the limit. Nutr. Endocrinol. J. Mol. CAP provides a convenient and patient-friendly method to assess lipid turnover during lifestyle and dietary interventions to combat NAFLD. Inactivity and obesity are two of the biggest contributors to liver disease that is not due to heavy alcohol use. Hypermetabolism was defined as an elevated measured REE>110% of the predicted REE. FibroScan-AST (FAST) score for the non-invasive identification of patients with non-alcoholic steatohepatitis with significant activity and fibrosis: a prospective derivation and global validation study Echosens and UK National Institute for Health Research. In the present study, an inverse association between FFM and hypermetabolism was shown. (C) China Hong-Kong NAFLD cohort (n=83). Scientific Reports (Sci Rep) The NFSA score was calculated based on age, hyperglycemia, body mass index, platelets, albumin and serum aminotransferase levels. -The FibroScan CAP score is measured in dB/m and helps ascertain the degree of fat cells within an individual's liver. >> Diabetes Care 27(10), 24162421 (2004). By submitting a comment you agree to abide by our Terms and Community Guidelines. /F7 7 0 R Operators are expressly recommended to carefully read the instructions given in the user manual and on the labelling of these products. Diagnostics (Basel). The performance of the CAP for diagnosing steatosis compared with biopsy was assessed using areas under receiver operating characteristic curves (AUROC). Acquisition of data, M.R.M.T. de Ldinghen V, Vergniol J, Foucher J, Merrouche W, le Bail B. Liver Int. Data collection was done by PNN, SAH, AP, JB, W-KC, YY, SC, M-HZ, VW-SW, MA, ET, QMA, DAS, PJE, ING, JFC, VP, PB, and CF-P. All authors reviewed and commented on the manuscript and approved the final version. Resting energy expenditure in the risk assessment of anticancer treatments. Franssila-Kallunki, A. Publication Paul et al. A language and environment for statistical computing. QMA was supported by the NIHR Newcastle BRC. /SM 0.02 The Fatty Liver Foundation, its officers or contributors expressly disclaim responsibility, and shall have no liability, for any damages, loss, injury, or liability whatsoever suffered as a result of your reliance on the information contained in this site. 0. %PDF-1.4 75(4), 18471853 (1993). Results of a FibroScan are available immediately following the scan. Most patients with the presence of a metabolic syndrome. >> Type 2 diabetes mellitus (T2DM) and non-alcoholic fatty liver disease (NAFLD) are both progressive health problems worldwide1,2. Syndr. Can. Sci. Among anthropometric measures, including height, weight, BMI, fat mass, fat percent, fat free mass (FFM), total body water (TBW) and WC, only TBW was significantly higher in subjects with non-hypermetabolism, as compared with hypermetabolism subjects (46.158.09 vs. 42.098.47, p=0.027). Metabolism 121, 154752 (2021). PubMed eCollection 2023 Jan. Taru MG, Neamti L, Taru V, Procopciuc LM, Procopet B, Lupsor-Platon M. Diagnostics (Basel). Unable to load your collection due to an error, Unable to load your delegates due to an error. Salmenniemi, U. et al. Our highly-specialized educational programs shape leaders to be at the forefront of cancer care and research. We found that the higher level of ALT was an independent factor predicting hypermetabolism in T2DM individuals with NAFLD. Prevalence of NASH+NAS4+F2=9%. 37(10), 13641370 (2013). Here are some helpful terms to know related to your FibroScan results: Fibrosis and steatosis are measured separately from one another. The FBS was measured using an autoanalyzer (Cobas c 311, Switzerland). Liver biopsy is crucial for selecting patients with non-alcoholic steatohepatitis (NASH) for inclusion in clinical trials and, by implication, for treatment after new drugs are licensed. .k/1t|s)5q\^m89/X{E@kT/X[=xzm{cD/xVc!-wqzg0K)cS@/Ua[6z^ncqol0x?oK\:QO8kn".bU*_L*_R4/plHlXq 9#Ok-hfz;0[[\;TPu57 Correction to Lancet Gastroenterol Hepatol 2020; 5: 36273, Statement on offensive historical content, Time between FibroScan and liver biopsy, median (IQR); range, Time between FibroScan and blood analyses, median (IQR); range, Time between liver biopsy and blood analyses, median (IQR); range, Redistribute or republish the final article, Reuse portions or extracts from the article in other works. This can happen if you have: FibroScan may give less accurate results, or no results at all if you have: Your healthcare provider may use imaging tests, such as ultrasound, CT, or MRI, to see your liver. Fibroscan Score Fatty Liver CapFatty liver is a condition that causes the body's liver cells to swell up, known as fibrosis. Prevalence of NASH+NAS4+F2=20%. Find the liver disease you have in the first column on the left. Med. While the present study found no association between inflammatory markers (CRP and TNF-) and hypermetabolism, the effect of inflammatory markers cannot be completely ruled out; this is because, in this study, we did not examine all inflammatory markers such as IL-6, etc. Lombardo, M. et al. Pract. Overall, the mean recruitment agestandard deviation and median (interquartile range) body mass index were 44.695.47years and 30.20 (27.8033.30) kg/m2, respectively. Thirdly, the wide availability of FibroScan devices based on VCTE technology, the need for just a serum AST value, its non-invasive nature, its low cost per scan, and its modest requirement to attain technical proficiency required to do the scans, mean the method can be rolled out easily across most clinical practices. S. et al. Nutr. Indirect calorimetry in clinical practice. 105(2), 141150 (2014). Association between uncoupling protein 2, adiponectin and resting energy expenditure in obese women with normal and low resting energy expenditure. At a cut-off of 283 dB/m, the CAP was 76% sensitive, 79% specific, and had positive and negative predictive values of 87% and 64%, respectively. Res. PubMed sharing sensitive information, make sure youre on a federal CAS Front. Hepatology 48(4), 10871096 (2008). This study showed that both NFS and FIB-4 score were similar in patients with fibrosis stages 0 and those with fibrosis stages 1 ( p > 0.05). Follow the row that has your results. Transient elastography was performed by one experienced operator, using FibroScan 502 instrument (EchoSense, France, 5MHz), to detect and quantify liver steatosis (CAP, dB/m) and fibrosis (LSM, kPa). A FibroScan can reveal fatty changes to the liver (steatosis) and scarring. Accessibility MA reports speaker fees/advisory board fees from MedImmune/Astra Zeneca, E3Bio, and Intercept, outside the submitted work. Sci Rep 13, 3669 (2023). The Weir formula29 was then used to calculate REE. This site needs JavaScript to work properly. 10(5), 524529 (2004). PubMedGoogle Scholar. Echosens and UK National Institute for Health Research. Res. The measurement of fatty change in your liver is the CAP score, while the measurement of scarring is the fibrosis score. Hypertension 43(3), 555560 (2004). 100(3), 10781087 (2015). J. Clin. The mean age of the participants was 44.695.47years, and 67.40% of them were males. Your healthcare provider will use your FibroScan fibrosis result and your medical history to determine your fibrosis score. J. Appl. The cross-sectional design of the current study made it impossible to draw a conclusion on causality. J. Nutr. Oxidative stress, renal infiltration of immune cells, and salt-sensitive hypertension: All for one and one for all. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. Martin, K. et al. 13(1), 344348 (2019). BMC Gastroenterol. 89(3), 977984 (2000). Lancet Gastroenterol Hepatol. 162(4), 14881492 (2000). Resting energy expenditure (REE) was determined by an indirect calorimetry device. 53(6), 529535 (2007). FibroScan is an imaging-based diagnostic test developed by Echosens that looks at liver fibrosis (stiffness, scarring) and steatosis (fat) using transient-elastography technology. If patients remain undiagnosed and untreated, they may go on to develop irreversible cirrhosis of the liver. See this image and copyright information in PMC. CAP performance was not influenced by measurement variability, but was higher in patients with mild (F0-F1) fibrosis (AUROC 0.89 vs. 0.72 with F2-F4; P = 0.03). Reddavide, R. et al. et al. Yabiku, K. Efficacy of sodium-glucose cotransporter 2 inhibitors in patients with concurrent type 2 diabetes mellitus and non-alcoholic steatohepatitis: A review of the evidence. Huang, Z. et al. Your fibrosis result is a measurement of the amount of scarring in your liver. CAP is a guiding point for doctors and patients to improve monitoring of lifestyle change and therapeutic intervention. / (,/OE! Epub 2020 Dec 16. Zhou, M. et al. Nutr. 2022;15(4):360-365. doi: 10.22037/ghfbb.v15i4.2480. Metab. FibroScan has allowed doctors to learn more about the liver without resorting to invasive techniques, which is very efficient for purposes of monitoring. FibroScan is a type of liver elastography. Animal studies showed that adiponectin administration up-regulates UCP2 expression in the liver tissues of adiponectin knockout mice58,59 and this may increase REE60,61. CAPis a quantitative surrogate of liver steatosis expressed in decibel per meter (db/m). Your CAP score is a measurement of fatty change in your liver. Rathaus, M. & Bernheim, J. Taghadomi Masoumi, Z. et al. Herrera-Amante, C. A. et al. Decision making for liver biopsy in NASH, not so FAST? Dial. Liver Int. Article MathSciNet JFC was supported by the NIHR Oxford BRC. s -w64'?*TM|_*>&7VZG|Ze~_-c\;7b 4+T*=P *xtocd~ _t~D8, AuA? Resting metabolic rate in severely obese diabetic and nondiabetic subjects. PubMed Central Moradi, S. et al. Nephrol. Intensity of resistance exercise determines adipokine and resting energy expenditure responses in overweight elderly individuals. The formulas used were the HSI (hepatic steatosis index), FLI (fatty liver index), and the NAFLD fibrous score . Do handheld calorimeters have a role in assessment of nutrition needs in hospitalized patients? Patel, P. J. et al. 90(7), 42164223 (2005). CAS In non-alcoholic fatty liver disease (NAFLD), advanced liver fibrosis is excluded by normal liver stiffness, but a wide range of cutoffs have been used to predict advanced liver fibrosis or cirrhosis. PubMed Central If you have more than one liver disease, this table may not apply to you. Am. The information on this site is provided as an information resource only, and is not to be used or relied on for any diagnostic or treatment purposes. You can use the following table to look up your livers health. When to Use Pearls/Pitfalls Why Use Age years BMI kg/m Impaired fasting glucose/diabetes No 0 Yes +1 AST U/L ALT U/L Platelet count 10/L Albumin g/dL Result: Please fill out required fields. Read across the row from left to right until you find the range that includes your fibrosis result. << Protein turnover is assumed to account for 20% of REE in healthy subjects41, and elevated protein turnover is associated with increased REE42,43 and loss of FFM43. Greer, R. et al. J. Physiol.-Endocrinol. This means that your actual fibrosis score (the score that your healthcare provider tells you) may not match the fibrosis score in the table. He decided to order a Fibroscan to rule out any liver disease. Bloodwork is perfect. Your doctor may also order other tests to evaluate your liver, such as blood tests, other imaging scans, or biopsies. PubMed /CSpg /DeviceGray The .gov means its official. *CAP is not available on S+ probe in all countries. Physiol. Care Med. Eddowes PJ, Sasso M, Allison M, Tsochatzis E, Anstee QM, Sheridan D, Guha IN, Cobbold JF, Deeks JJ, Paradis V, Bedossa P, Newsome PN. Welle, S. & Nair, K. Relationship of resting metabolic rate to body composition and protein turnover. Google Scholar. Loos, R. J. et al. endobj Deurenberg, P. Limitations of the bioelectrical impedance method for the assessment of body fat in severe obesity. Endocrinol. *CAP is not available on S probe in all countries. Inflammation is associated with increased energy expenditure in patients with chronic kidney disease. Non-invasive means nothing is put inside your body. The solid line in each image represents the ideal calibration. Then, look at the top of that column to see the fibrosis score.[3]. Delsoglio, M. et al. Article Your care team cannot see anything you write on this feedback form. (C) Sensitivity, specificity, positive predictive value, and negative predictive value versus all possible FAST score values. Gastroenterology. Tanase, D. M. et al. /Title ( U n d e r s t a n d i n g Y o u r L i v e r E l a s t o g r a p h y \( F i b r o S c a n \) R e s u l t s | M e m o r i a l S l o a n K e t t e r i n g C a n c e r C e n t e r) MeSH For more resources, visit www.mskcc.org/pe to search our virtual library. The influence of basal metabolic rate on blood pressure among indigenous Siberians. ADS Curr. A healthy liver has a CAP score of 5% or lower. Adv. -, Tsochatzis EA, Newsome PN. Triangles represent deciles of participants grouped by similar predicted risk. PB reports personal fees from EchoSens during the conduct of the study. Shen F, Zheng RD, Mi YQ, Wang XY, Pan Q, Chen GY, Cao HX, Chen ML, Xu L, Chen JN, Cao Y, Zhang RN, Xu LM, Fan JG. According to the results of multivariable logistic regression analysis (Table 2), hypermetabolism was positively associated with adiponectin (odds ratio [OR] 1.17, 95% confidence interval [CI] 1.021.34, p=0.030), physical activity (OR 1.13, 95% CI 1.0021.28, p=0.046), ALT (OR 1.06, 95% CI 1.0061.12, p=0.031) and diastolic blood pressure (OR 1.07, 95% CI 1.011.13, p=0.021). PMC J. Clin. Endocrinol. Published by Elsevier Ltd.. All rights reserved. For instance, bioelectrical impedance can be affected by some factors including the level of body hydration, body geometry, etc., which could result in the incorrect estimation of body composition78. Inclusion criteria included 30 to 53-year-old individuals with concurrent NAFLD, according to controlled attenuation parameter (CAP) score260dB/m24, and T2DM, based on American Diabetes Association criteria25. The effect of omega3 fatty acid supplementation on PPAR and UCP2 expressions, resting energy expenditure, and appetite in athletes. gold standard solution for comprehensive management of liver health, Enhance FibroScan liver disease assessment with biological markers, Your everyday FibroScancompanion free application, Optimize clinical workflows with real-time secure data transmission. Relationship between blood adipocytokines and resting energy expenditure in young and elderly women. REE was measured by indirect calorimetry using a Fitmate calorimeter (Cosmed, Italy). CAP(Controlled Attenuation Parameter) is the non-invasive reference parameter to diagnose and monitor liver steatosis. 13(9), 849866 (2019). Harrison SA, Ratziu V, Boursier J, Francque S, Bedossa P, Majd Z, Cordonnier G, Sudrik FB, Darteil R, Liebe R, Magnanensi J, Hajji Y, Brozek J, Roudot A, Staels B, Hum DW, Megnien SJ, Hosmane S, Dam N, Chaumat P, Hanf R, Anstee QM, Sanyal AJ. Ultrasound-Based Diagnostic Methods: Possible Use in Fatty Liver Disease Area. Google Scholar. Araiza, P. et al. However, fat free mass was inversely related to hypermetabolism (OR 0.935, 95% CI 0.8830.991, p=0.023). 258(6), E990E998 (1990). doi: 10.1093/crocol/otad004. You can read the sections below if you would like to learn more. Metab. Araiza et al. /Length 13 0 R Luke, A. et al. Memorial Sloan Kettering was founded in 1884, and today is a world leader in patient care, research, and educational programs. FibroScan works similarly to an ultrasound, emitting a small pulse of energy, called a shear wave. The exclusion criteria were as follows: being under insulin therapy, experiencing pregnancy or lactation, having the history of or currently drinking excessive alcohol (average drinking of alcohol over 20g/day26), viral hepatitis infection, having the history of thyroid disease or limb amputation, suffering from cardiovascular diseases, kidney diseases, cancer, mental disorders, cirrhosis and other chronic liver diseases, and currently consuming supplements including vitamin E and other antioxidants. NAFLD (Non-Alcoholic Fatty Liver Disease) Fibrosis Score Estimates amount of scarring in the liver based on several laboratory tests. Scores from the FibroScan will be in kilopascals (kPa), ranging from 2 to 75 kPa. Pannacciulli, N. et al. Treuth, M. S. et al. >> Opin. CAS Nutrients. In spite of the prevalence of T2DM and NAFLD and the importance of estimating appropriate energy expenditure, there is not much literature on exploring factors affecting metabolism in such diseases. FibroScan will help your healthcare provider learn more about your liver disease. Utaka, S. et al. Effects of anti-diabetic treatments in type 2 diabetes and fatty liver disease. 46(2), 325332 (2022). Bica, C. et al. [1] Echosens, For Patients, https://echosens.us/for-patients/, [2] Memorial Sloan Kettering Cancer Center, Understanding Your FibroScan Results, February 2018, https://www.mskcc.org/cancer-care/patient-education/understanding-your-fibroscan-results, [3] Memorial Sloan Kettering Cancer Center.

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