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A post hoc analysis in Japan indicated that the combination of SGLT2i and GLP-1RA was superior to monotherapy in improving liver function parameters (ALT, AST), hepatic steatosis index (HSI), and fibrosis index (FIB-4), suggesting complementary mechanisms between the two

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Friedrich N, Thuesen B, Jrgensen T, et al

This decrease was very obvious in comparison to left side which showed fair changes (Fig

And since the keto diet flips a typical carb-heavy diet into a fat-heavy one, there are specific factors to keep in mind