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Materials and methods Study participants Men and women aged between 18 and 80 years diagnosed with NAFLD by ultrasound who had an increased serum level of alanine transaminase (ALT) were recruited from the Gastroenterology Clinic and Radiology Center of Shahid Beheshti Hospital, Kashan University of Medical Sciences

The two most common options, bacteriostatic water and sterile water, serve different purposes

However, supplementation should ideally follow proper diagnostic testing to identify the underlying cause and guide appropriate treatment strategies

However, such an approach is likely beneficial for patients receiving high doses of metformin over an extended period