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Never shake the vial , as this can damage the hormone

Liver biopsy is considered the gold standard to assess and stage fibrosis but are generally reserved for cases where diagnostic uncertainty exists, given that liver biopsies are invasive and carry the rare but real risk of life-threatening complications

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doi: 10.1016/j.mvr.2024.104684 138

Lublin et al., 2022

Association of acute gastroesophageal reflux disease with esophageal histologic changes