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Insomnia also increases the hormone ghrelin (an appetite) and a decrease in leptin (the satiety), causing you to eat more than usual

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ALT and AST levels are not reliable indicators of the presence or severity of NAFLD.(14) ALT and AST levels are not reliable indicators of the presence or severity of NAFLD. RISK STRATIFICATION Liver biopsy is the gold standard to stratify NAFLD and the only way to identify histologic ballooning to diagnose NASH

Both are powerful tools, but the right one for you depends on a variety of personal factors, from your health profile to your specific goals for managing your weight and blood glucose levels