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This timeline is consistent with a possible drug-related effect, though a case report alone cannot establish causation

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doi: 10.2337/dc20-1675 14 VeelenAAndriessenCOp den KampYErazo-TapiaEde LigtMMevenkampJet al

Overall, 140 participants (32.1%) reported lifetime use of semaglutide, tirzepatide, dulaglutide, liraglutide, or exenatide, used for either diabetes management or weight loss, while 96 (22%) reported current use

Very low-density lipoprotein (VLDL) excretion Hepatic TG-enriched lipoprotein secretion is increased in absolute terms in NAFLD, but its increase does not match the increased fat accumulation in hepatocytes [13, 37]

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