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Alpha-Lipoic Acid (ALA): Another potent antioxidant that works alongside glutathione to support metabolic health and energy production

The primary evidence-based interventions remain: Weight loss through caloric restriction and increased physical activity (target 710% body weight reduction) Dietary modification , including reduced sugar and saturated fat intake Management of associated conditions such as diabetes and dyslipidaemia Alcohol : for NAFLD, keep within UK low-risk drinking guidelines (no more than 14 units per week, ideally less or none)

Comment: A few commenters expressed concern that ASM participants with only a few EBCM episodes may change ASM participation status year over year and not know if they were eligible until the end of the year

This combined score has been compared to the CTP score, MELD, and MDF, and shown to have an overall sensitivity of 73% and specificity of 83%, which was at least as good as other scoring systems