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vomiting blood or passing black, tarry stools (suggesting gastrointestinal bleeding)

The progressive form, MASH, exhibits hepatocyte damage, inflammatory cell infiltration, and variable degrees of tissue fibrosis, with advanced fibrosis representing the predominant prognostic determinant for hepatic morbidity and mortality, as well as an additional risk factor for extrahepatic complications

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Second, the state boards interpretation also conflicts with the plain language of the statute

Drug reverses signs of liver disease in people living with HIV