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Alternative approaches include supplementing with precursor nutrients such as N-acetylcysteine (NAC), which the body can use to synthesise glutathione naturally, though NAC is also not recommended for NAFLD in NICE guidance and should not be self-prescribed for liver disease

Studies have shown the propensity for inaccuracy in coding for DR, 28 particularly after hospital systems switched from ICD-9 to ICD-10 coding, 29 and a recent study highlighted the difference in coding for DR severity between retina specialists and general ophthalmologists

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