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Risk factors include: Being overweight or obese, particularly with central adiposity Insulin resistance or type 2 diabetes High triglycerides or low HDL cholesterol Metabolic syndrome Age over 50 years According to NICE guidance (NG49), diagnosis typically involves blood tests (liver function tests, lipid profile, glucose), ultrasound imaging to detect steatosis, and assessment for other causes of liver disease including alcohol intake (using tools such as AUDIT-C), viral hepatitis (hepatitis B and C serology), autoimmune liver disease, and medication review