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144 The study used a randomized, open-label design and employed magnetic resonance imaging technology (MRI-PDFF) to measure liver fat content (LFC) after 24 weeks of treatment

There were no instances of level 2 (less than 54 mg/dL) or level 3 hypoglycemia (severe low blood sugar requiring the assistance of others)

Since muscles contribute to energy expenditure at more than twice the rate of fat tissue, the reduction in muscle and other lean mass accompanying fat loss results in lower energy expenditure after weight reduction

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Competing interests The authors declare that they have no conflict of interests

The benzyl alcohol degrades faster, and any introduced bacteria can multiply