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Given the heterogenic nature of NAFLD, targeting metabolic, anti-inflammatory, or anti-fibrotic disease pathways simultaneously may exert an additive or synergistic effect and combination therapy may prove to be a an important tool in the future development of pharmacological treatment options
It should be kept in mind that although B12 injections are quite effective, they are not fairy dust
Additionally, liraglutide treatments delayed disease onset and decreased the median clinical score from 5 to 2 in animal models (p = 0.0003) [23]
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The metabolic changes come from cellular-level effects rather than artificially elevated sympathetic tone