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They accept fat gain during growth phases because muscle building requires caloric surplus

[DOI] [PubMed] [Google Scholar] 75.van Witteloostuijn SB, Pedersen SL, Jensen KJ

The authors also measured serum levels of the inflammatory chemokine IP-10/CXCL-10, and found that this chemokine had a significant negative association with TPOAb in the patients (134)

In general, treatment can reverse MASLD unless you have MASH-related cirrhosis