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Good to learn that you are trying to better your health.
levels are high. But your liver enzymes are near normal . (only ALT is minimally elevated).
There is no immediate need for a liver biopsy
You can try low fat diet, regular exercise, meticulous medication for other diseases that you have.
Avoid junky, oily, fatty foods. Use cardio-friendly cooking oils.
Regularly check your lipid levels to see if improvement is maintained. Lipid lowering agents like statins can be taken with your doctor’s guidance.
This should help to reduce lipid levels and hence NASH.
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