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Enrolled patients had a baseline or recent liver biopsy showing clinically significant MASLD (metabolic dysfunction-associated steatotic liver disease), defined as MASH with fibrosis stage 2 or 3 and a non-alcoholic fatty liver disease (NAFLD) Activity Score (NAS) 4 with a score of 1 or more in steatosis, lobular inflammation, and hepatocyte ballooning
It can also affect judgment and lead to poor food choices (Traversy & Chaput, 2015, Current Obesity Reports)
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it fundamentally shifts energy utilization
Incorporating a balanced approach alongside the medication is essential to overcoming plateaus
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