Peter Attia· MD
if there's evidence of injury um an injury so the way that we liver doctors think about it our markers of necroinflammation as and as LT are not functional they're markers of of injury and we think of much more U meaningful things in terms of being functional albumin synthetic function in terms of coagulation and then also glucose handling so if you start to see I have and again with the patients that we see we have many patients that have a degree of hepatic steatosis and their only risk factor is alcohol intake and if they're not having any disregulated metabolism they're not distressed by this abnormality and we're able to monitor them and the net gain to them from all sorts of inputs including social inputs um is that their alcohol level is not causing you know major life events including effects on their family or things that maybe um are harder to talk about then there's sort of a permissivity to that