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10.1038/s41590-020-0699-0 Nat Immunol

Initial detection may occur through: Blood tests showing elevated liver enzymes (ALT, AST, GGT), though normal results do not exclude fatty liver disease Ultrasound scanning revealing increased liver echogenicity (though sensitivity is limited for mild steatosis) FibroScan (transient elastography) measuring liver stiffness (to estimate fibrosis) and controlled attenuation parameter (CAP, to estimate fat content)