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Upon discontinuation of tirzepatide, his symptoms resolved completely

A systematic review and meta-analysis of 10 randomized controlled trials that included a total of 316 participants with NAFLD found exercise (aerobic, strength training, or a combination of both) without diet change or weight loss reduced liver steatosis and levels of liver enzymes, LDL-cholesterol, and triglycerides

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403 Additionally, ketone bodies, which constitute only 1520% of the energy supply, are crucial for heart protection because they improve heart failure and hypertrophy and are easily converted to acetyl-CoA for energy

N Engl J Med 355:22972307 Aithal GP, Thomas JA, Kaye PV et al (2008) Randomized, placebo-controlled trial of pioglitazone in nondiabetic subjects with nonalcoholic steatohepatitis