Symptoms of Non Alcoholic Fatty Liver Disease.

  Janice is a 45yo Caucasian female with symptoms of Non Alcoholic Fatty Liver Disease.Her BMI is 40 and she was diagnosed with DM type 2 3 years ago. Her last HgbA1c was 7.4. She lives a sedentary life style. She state she has significant fatigue and but is otherwise asymptomatic. What diagnostics would you order for Janice? Why? What treatment plan would you recommend for her? What is her prognosis?

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