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This is a potentially dangerous condition caused by too much serotonin in the brain, leading to symptoms like agitation, hallucinations, fever, sweating, shivering, increased heart rate, muscle stiffness, and loss of coordination

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Due to the insulin resistance condition, metformin should be used as a first-line therapy combined with GLP1-RA, which show cardiovascular protective effects and intermediate to very high weight loss

In recent years, with the rise in obesity and type 2 diabetes mellitus, MASLD has become an increasingly serious public health issue globally