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Patients should be counseled that metformin is being prescribed for glycemic control rather than as a targeted liver therapy, and that lifestyle modification remains the primary intervention for fatty liver disease

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Prescription Ozempic (manufactured by Novo Nordisk) is one option, but compounded semaglutide from licensed 503A pharmacies offers personalized dosing flexibility and often better cost accessibility

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Owing to the patient's persistently elevated LFTs, the GI team recommended liver biopsy

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These effects typically occur early in treatment and diminish as the body adjusts

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