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2121-A USE OF NIS4 IN PRIMARY CARE AND ENDOCRINOLOGY CLINICS IDENTIFIES PEOPLE WITH TYPE 2 DIABETES AT A HIGHER RISK OF SEVERE NONALCOHOLIC STEATOHEPATITIS Srilaxmi Kalavalapalli 1 , Eddison GodinezLeiva 1 , Romina Lomonaco 1 , Stephen Marangi 1 , Enrique ValdezSaenz 1 , Andrea Ortiz Rocha 1 , Yasmine Mohseni 1 , Margery Connelly 1 , Toni Prezant 2 , Kelly Chun 2 , Maria Lupi 1 , Juan Munoz Pena , 1 , Juan Perdomo Rodriguez 1 , Jeffrey Budd 1 , Anu Sharma 1 , Diana Barb 1 and Kenneth Cusi 1 , (1)University of Florida, (2)Labcorp Background: The noninvasive diagnosis of nonalcoholic steatohepatitis (NASH) remains challenging

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Alanine is the primary gluconeogenic substrate for the liver, reaching it from muscle and other peripheral tissues via the glucose-alanine cycle

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