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Scoring Systems to Assess Liver Disease Severity The Child- Turcotte- Pugh score (Table 23.1) uses encephalopathy, ascites, bilirubin, albumin, and prothrombin time (or international normalized ratio [INR])

Initial bloodwork typically includes: Complete metabolic panel: $50-150 Complete blood count: $30-75 Hormone panel (testosterone, IGF-1, thyroid): $150-300 Additional markers depending on peptides: $100-200 Total initial testing cost: $200-500 Some telehealth providers include basic labs in their pricing

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