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hello this is the best and why uh gastroenterologist hepatologist again today I want to talk about Alpha Theta protein part two I think we talked about what is the wrong way of doing using AFP for other feeder protein we do not recommend the general public to use it as a screening tool when they have no symptom uh the aaslt the easel that means the Americans associate of such a liver disease and the European Association of study of liver they have guideline they say that we use AFP as part of a screening process for those who have high risk of liver cancer such as those with hepatitis B hepatitis C with with fibrosis or cirrhosis of any cause when they have a risk level of liver cancer we can use AFP which is a cancer methyl for liver cancer to to survey to to screen and to pick up if they have any early cancer so I can share one example of how we use it I have this patient whos about in the mid 40s a lady with Hepatitis B so she sees me on a regular basis every time she come I told t