Although it could be argued that the differentiation andidentification of symptoms between different comorbidities, i.e.liver disease and diabetes could be problematic72; cirrhotic patients were reported as having worse physical health/functioning,27 emotional health, mental health,50 and were reportedto experience more pain than non-cirrhotic patients withNAFLD.39 Indeed, in 1 study aiming to determine the factorsrelated to disability in cirrhotic outpatients, pain-relateddisability was reported to be ‘nearly universal’