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[14] [15] For patients with type 2 diabetes and biopsy-proven NASH with fibrosis, pioglitazone may be considered under specialist supervision, as its use for liver disease is outside its licensed indication (type 2 diabetes) and requires careful assessment of potential risks and contraindications

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In some cases, vesiculoscopy, a procedure in which the ejaculatory duct is temporarily dilated, may allow for natural conception without surgery