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If you have a history of chronic or severe pancreatitis, the risk of triggering a new, potentially fatal episode is too high for standard medical weight loss protocols

For submental fat (double chin), the standard protocol is 24ml per session using a 30G needle with 1cm spacing between injection points at a depth of 610mm into the subcutaneous fat layer

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)

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The antibodies also attack cells in the mucosal lining (moist inner lining) of your stomach and nerve cells