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According to NICE guidance (NG49) , patients with NAFLD should undergo risk stratification for advanced fibrosis

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Protocol 3: fat loss and body recomposition (2-3 peptides) Goal: Maximize fat loss while preserving or building lean mass Peptides: Semaglutide : Start 0.25mg weekly, titrate to 1-2.4mg weekly over 8-16 weeks BPC-157 : 250mcg twice daily (protects gut health during GLP-1 use) Optional third: Ipamorelin 100mcg twice daily (supports lean mass preservation) Why this works: Semaglutide provides powerful appetite suppression and improved insulin sensitivity for fat loss