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Houman, body fat is actively working to lower T production

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In pediatric patients with genetic obesity, such as those carrying the PNPLA3 p.I148 M variant, bariatric surgery may yield greater liver fat reduction, as observed in a study showing more substantial improvements in liver fat content among PNPLA3-associated steatohepatitis patients compared to non-carriers [207]

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Xue S-N, Lei J, Lin D-Z, Yang C, Yan L

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Convergent evidence shows that (i) obesity is associated with reduced striatal D2 receptor availability [27], (ii) high-glycemic/rapid-absorption carbohydrates are plausible pharmacokinetic drivers of addictive-like responses [25], and (iii) ultra-processed foods high in refined carbohydrates and/or fat are disproportionately linked to addictive-like eating behaviors [28]

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Tirzepatide has also shown some promising results with up to 8% absolute reduction in liver fat content in a RCT

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