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Nearly a quarter of lean HIV-positive people in a recent study had NAFLD, and 16% of them developed fibrosis.
People with fatty liver disease may have more trouble losing weight
Normalizing ALT liver enzyme levels is associated with positive long-term outcomes.
Nonetheless, half of people with NAFLD were able to reach a 5% weight loss goal using a very low energy diet.
Having a low CD4 count was also associated with the liver condition in a recent small study.
Being overweight or obese is an important risk factor for liver cancer, even among those who don’t have viral hepatitis
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