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Here we shall focus our attention on the possible direct effects of HIV-1 on DNA integrity and efficiency of DNA repair

Referral to hepatology is recommended for patients with: Elevated fibrosis risk on FIB-4 or ELF testing (per NICE NG49) Signs of decompensation : jaundice, ascites (abdominal swelling), hepatic encephalopathy (confusion), or gastrointestinal bleeding Uncertain diagnosis or complex management needs Nutritional support from a dietitian experienced in liver disease can optimise outcomes

Its especially helpful for those with low energy, digestive issues, or poor absorption of oral supplements

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Werner ER, Blau N, Thny B

Its common to feel fuller faster, have a reduced desire to snack, or experience a lower overall interest in food