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Referral to hepatology is recommended for patients with: Elevated fibrosis risk on FIB-4 or ELF testing (per NICE NG49) Signs of decompensation : jaundice, ascites (abdominal swelling), hepatic encephalopathy (confusion), or gastrointestinal bleeding Uncertain diagnosis or complex management needs Nutritional support from a dietitian experienced in liver disease can optimise outcomes

B12 deficiency can still occur and this vitamin may still be needed

Oral supplement: To enhance vitamin B12, choose high-dose oral supplements

At room temperature, common contaminants can establish colonies within 4872 hours despite the preservative