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More children are being picked up these days with an incidental finding of a mildly raised alanine aminotransferase (ALT) level, often when liver function tests are requested for dubious reasons. Many of them are overweight, and some paediatricians may be inclined to ignore it as an inconsequential sign of ‘fatty liver’, or use it as a motivating factor to encourage weight loss (‘your over-eating is damaging your liver…’). But should we take more …
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