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Patients with metabolic dysfunction-associated steatotic liver disease (MASLD, formerly NAFLD) and insulin resistance may experience improvements in hepatic steatosis and liver enzyme elevations, though this represents an off-label use with evolving evidence

Lastly, even though we provided dietary and exercise counseling to all participants, energy intake and physical activity were not measured, which may be a confounding factor of interindividual variability in weight loss between groups

Understanding these causes can help you prevent and manage them effectively