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This protocol outlines evidence-based guidance for safe clinical application

East Tennessees Appalachian communities have some of the highest obesity rates in the state paired with some of the lowest specialist access

Since the predictive value of both the NAFLD Fibrosis Score and Fibrosis 4 Index is known to decline outside the age range 3565 years, agestratified thresholds for both markers were also applied according to the algorithm of McPherson et al.32 Subjects aged 35 years or less were not classified under either score