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Similar content being viewed by others Introduction Nonalcoholic fatty liver disease (NAFLD) has become the most common chronic liver disease worldwide affecting more than one-third of the world population [1]

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Further, T2DM remains one of the most significant risk factors not only for the development of MASLD but also for the progression of liver fibrosis and the occurrence of liverrelated complications, including HCC (Hosseinkhan et al., 2025