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There is definite histological evidence that NASH, and also NASH-cirrhosis may occur despite normal or near normal liver enzymes in patients with type 2 diabetes, conflicting with the well-accepted paradigm that elevated liver enzymes are a criterion for additional diagnostic tests.
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This page is a summary of: Hunting for Progressive NAFLD in Type 2 Diabetes: Do Not Trust Liver Enzymes!, Diabetes Care, June 2023, American Diabetes Association,
DOI: 10.2337/dci23-0027.
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