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nejm.org
NEJM.org @nejm.org · Aug 13
MASLD has become the most common chronic liver disease worldwide. The authors review the features of the disease as well as pharmacotherapies targeting the associated liver and cardiovascular–renal–metabolic issues. Learn more: nej.md/4lpS4F0

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Review Article 
Metabolic Dysfunction–Associated Steatotic Liver Disease 
Giovanni Targher, M.D., Luca Valenti, M.D., and Christopher D. Byrne, M.B., Ch.B. 

Panel A: Factors related to insulin resistance and metabolic dysfunction, diet and environmental exposures, and genetic and epigenetic factors are the main drivers of MASLD development and its progression throughout the entire spectrum of liver disease.  

Panel B: Female sex and hormonal factors can also modulate the development and progression of MASLD.