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For fatty liver disease itself , NICE guideline NG49 recommends risk stratification in primary care using the FIB-4 score initially, followed by the Enhanced Liver Fibrosis (ELF) test if indicated, to identify patients at higher risk of advanced fibrosis who may require specialist referral

(ii) inhibiting the generation of transforming growth factor beta, which prevents premature conversion of hair follicles from the anagen to the regressive phase [[23], [24], [25], [26]]