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Extended protocols may be appropriate for individuals with significant body composition goals, those who respond gradually to therapy, or patients seeking comprehensive metabolic optimization under close medical supervision

Some list "milk thistle" or "milk thistle seed" without specifying how much silymarin is actually present

Lifestyle modification including weight loss of 7-10% of body weight, dietary changes, and increased physical activity remains the most effective evidence-based treatment for fatty liver disease

and (c) the differentiation of roles for teachers including diagnostician, programmer, eval- uator, and manager