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Infection and smoking are two likely triggers

If the insurer says the BMI threshold wasnt established, include the documented measurement

Regulatory Impact Analysis addressing global healthcare compliance, market access regulations, and evolving standards for pharmaceutical treatments in diabetes and obesity management

This is clinically significant because metabolic dysfunction-associated steatotic liver disease (MASLD) previously known as non-alcoholic fatty liver disease (NAFLD) is estimated to affect approximately 2530% of adults in the UK (British Liver Trust), and can progress to cirrhosis and liver failure if untreated

6 Although metformin is usually an effective treatment for regulating glucose levels, many patients with T2D have an elevated risk of cardiac events that does not improve in response to metformin