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[52], [53] Further complicating this is the fact that many providers perceive NAFLD as a benign entity and subsequently, many patients with a high likelihood of NAFLD do not complete formal evaluation to confirm the diagnosis and are not subsequently referred to specialists who are involved in clinical trial recruitment.[54], [55] Primary care physicians, endocrinologists, gynaecologists, cardiologists and to some extent gastroenterologists lack awareness of NAFLD/NASH progression and its associated risk factors