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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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''But that doesn't mean they're not working the fact that people go to the trouble to not see it is a very positive thing from our perspective.''

"They come up to me on the street and say, I'm one degree now, right?' And I just say, Sure.'" 23

Mukand, also received a National Institutes of Health grant