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those at intermediate or high risk may proceed to Enhanced Liver Fibrosis (ELF) testing or FibroScan, with referral to hepatology for those with suspected advanced fibrosis, in line with NICE guidance (NG49)
Yes by supporting mitochondrial function and reducing oxidative breakdown of collagen, it softens fine lines and prevents deeper wrinkle formation
Allergic reactions with exenatide may result in injection site irritation or, in rare cases, anaphylaxis (23)
Based on the data in children and adolescents and the clinical experience of experts, aprepitant is currently recommended as an alternative prophylactic treatment in patients that do not respond to or do not tolerate standard therapy with amitriptyline or topiramate
However, most providers still recommend morning dosing, ideally 30 minutes before eating
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