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The absence of verified dosing, product identity, and medical history means that individual case causality cannot be established with the certainty afforded by a controlled clinical trial

As MASLD progresses, it can lead to more severe liver damage, including cirrhosis, a potentially life-threatening condition characterized by liver scarring and impaired function

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[90] Endocrine effects may include suppression of the hypothalamic-pituitary-adrenal axis, which could lead to adrenal insufficiency if therapy is discontinued abruptly