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The overall prevalence of NASH is uncertain, as it relies on third-level referral centers with availability of liver biopsies, and is estimated between 1.5 and 6.45% (34)

Random start using birth control pills: Birth control suppresses the ovaries, which means that it prevents the ovaries from growing a follicle and allows the start of treatment to be much more flexible

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Prolonged diagnostic pathways may also contribute to disease progression, including the development of deep infiltrating disease and adhesions, which can complicate treatment and reduce reproductive outcomes