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You should be referred to a hepatologist if your FIB-4 score is above 2.67 (or above 2.0 if aged 65 or over) or if your Enhanced Liver Fibrosis (ELF) score is above 10.51, as these indicate likely advanced fibrosis

Wendel, U., Bakkeren, J., de Jong, J

Clinical Significance of Monitoring AST and ALT Levels Non-alcoholic fatty liver disease (NAFLD) is a leading cause of abnormal transaminase levels and metabolic issues