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One of the medications used to treat type 2 diabetes (T2DM) is glucagon-like peptide 1 receptor agonists (GLP-1RAs) which have multiple effects, including weight loss

This disease spectrum ranges from isolated lipid deposition within hepatocytes through metabolic dysfunction-associated steatohepatitis (MASH), potentially advancing toward cirrhotic transformation, hepatic functional deterioration, and malignant hepatocellular transformation

The generated glutamate can also be used to produce other non-essential amino acids through transaminase activity (Jin et al., 2023)

Absence of COA documentation or refusal to provide batch-specific testing results suggests inadequate quality control