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About 10%-25% of patients with NAFLD will develop non-alcoholic steatohepatitis (NASH), which increases the risk of liver cirrhosis or liver cancer (185)

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Fatigue accompanied by anhedonia, sleep disturbances, or changes in appetite beyond those expected from the medication warrants evaluation for depression, potentially using validated screening tools like the PHQ-9
Double-check that ice packs are TSA-compliant (frozen solid at security checkpoints) and consider purchasing additional ice upon arrival rather than transporting multiple packs
