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doi: 10.1016/j.bone.2012.03.023 186 SchaferMJWhiteTAIijimaKHaakAJLigrestiGAtkinsonEJet al

There is a close relationship between IR/diabetes and MAFLD, the mechanisms by which IR promotes MAFLD include changes in rates of adipose tissue lipolysis and de novo lipogenesis, impaired mitochondrial fatty acid -oxidation (FAO), changes in fat distribution, and alterations in levels of adipokines and cytokines (Tilg et al., 2017

More study must be performed to know for sure

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