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The true malignant potential of these lesions is debated and a number of studies have examined the role for sentinel lymph node biopsy, demonstrating an overall positive rate of approximately 38 % [48, 59]

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Forest plot of network meta-analysis of liver biopsy-based outcomes: (A) NAS, (B) Fibrosisstage, and (C) NASH resolution

Examples include the Patient Advocate Foundation and NeedyMeds.

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[6] Caution is advised in patients with advanced renal impairment or those receiving dialysis, given the renal clearance of carnitine and the risk of accumulation