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Make sure you're comfortable with this commitment and understand the dosing schedule

It improves how your liver is working with insulin
Clinicians should actively screen at-risk patients by assessing liver enzymes (ALT, AST), calculating non-invasive scores like FIB-4, and using imaging when necessary

[DOI] [PubMed] [Google Scholar] 95.Vendrell J, El Bekay R, Peral B, Garcia-Fuentes E, Megia A, Macias-Gonzalez M, et al
If you have, you can continue taking it long-term

None of these eliminate the risk, but together they meaningfully improve the odds
