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Recognizing Lean Liver Disease in Clinical Practice Clinicians should consider metabolic liver disease in patients who present with: Normal BMI but central adiposity (increased waist circumference) Mildly elevated liver enzymes without a clear cause Dyslipidemia or insulin resistance features Fatty liver on incidental imaging Routine use of noninvasive tests such as FIB4, ELF score, or transient elastography can help stratify risk and guide hepatology referrals

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Gastric Motility Modulation: Mapping the delay in gastric emptying and its subsequent impact on nutrient absorption curves

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The brain's ability to utilize glucose becomes measurably impaired, creating an energetic deficit at the neuronal level