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4.1 Acute liver failure ALF is an intractable clinical syndrome with multiple causes featured by a fast reduction in hepatic function, increased aminotransferases, altered mentation, and disturbed coagulation in the absence of chronic liver diseases

Statements Author contributions YO conceived the project and finalized the manuscript

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Anyone interested in pharmacological support for weight management should speak with their GP or be referred to an NHS Tier 3 weight management service, where appropriate assessment and supervised care can be provided safely and legally