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An increased proportion of these cases will be NASH, rising from 20% to 27% of adults with NAFLD during this interval1 ......NAFLD is an umbrella term that comprises a continuum of liver conditions varying in severity of injury and resulting fibrosis.....highly variable natural history of NAFLD reflects the diverse but convergent impacts of the environment, the microbiome, metabolism, comorbidities and genetic risk factors......Presence of metabolic syndrome (MetS) in an individual is the strongest risk factor for NAFLD and NASH (Box 2)

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