One of the difficulties in diagnosing NASH as the cause of severe scaring or cirrhosis is that as the scaring progresses to cirrhosis, the fat disappears. This results in a condition that is referred to as cryptogenic cirrhosis , cirrhosis in which there is no clear cause. (Specifically, in cryptogenic cirrhosis the two most common causes of cirrhosis - alcohol and viral hepatitis - are not involved.) Cryptogenic cirrhosis has puzzled physicians for many years as to its cause. However, it now appears that half of cryptogenic cirrhosis occurs in patients with obesity and/or diabetes and probably is due to NASH.
[ Editor's Note: Chryste Gaines, MBA, Olympic gold and bronze medal sprinter and former teammate of Marion Jones in the 2000 Sydney Olympic Games, stated the following in a Dec. 22, 2008 email to in response to the IOC ruling:
"We are being unfairly punished. If the drug testing agencies cannot determine if an athlete is taking performance enhancing drugs how are the teammates supposed to know?... It negates all the family functions, church functions, and social events we missed in the name of winning an Olympic medal." ]