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Ethics declarations Conflicts of interest The authors declare that they have no conflict of interest

Patients with FIB-4 1.3 (if under 65 years) or 2.0 (if 65 or older), or with persistent ALT/AST elevation for over 6 months, should undergo further assessment with vibration-controlled transient elastography (VCTE) or be referred to hepatology

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We dont believe government officials, legislators and others have focused enough attention on this critical issue, and we hope to change that. Brookes did not respond to a request for comment