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Nearly 25% of the population in western countries have NAFLD and up to 6.5% fulfill the criteria of NASH ( NAFLD is considered the hepatic manifestation of metabolic syndrome ( No pharmacological therapies are approved for the treatment of NAFLD and lifestyle changes focusing on caloric restriction and weight loss constitute the general treatment recommendations

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When taking metformin, it is advisable to avoid or reduce certain foods, such as processed foods and those high in saturated fats, trans fats, sodium, and sugar