But we wont know the exact level of harm for certain until we have years of accumulated data to analyze
Fatty liver from alcohol (alcohol-related liver disease) results directly from excessive alcohol consumption, whilst tobacco-related effects contribute to non-alcoholic fatty liver disease through metabolic pathways involving insulin resistance and inflammation
Adults with type 2 diabetes, obesity, or metabolic syndrome should have non-invasive fibrosis risk assessment in primary care using validated scoring tools (such as FIB-4 or the NAFLD fibrosis score), followed by second-line tests (such as the Enhanced Liver Fibrosis [ELF] blood test or transient elastography) if indicated
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Certain medical conditions and medications increase risk, including hypothyroidism, obstructive sleep apnoea, hypopituitarism, and medications such as corticosteroids, tamoxifen, amiodarone, valproate, and some antiretroviral drugs (though medication-induced steatosis is less common)
