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002; n = 2) but not by ultrasound (P = 0.08; n = 2). MD also showed a significant decreasing effect on BMI (ES = -1.23 kg/m2; 95% CI -2.38, -0.09), plasma triglycerides (ES = -33.01 mg/dL; 95% CI -52.84, -13.18), and HOMA-IR (ES = -0.94; 95% CI -1.29, -0.58) but no significant effect was observed in waist circumference, cholesterol fractions, glucose and insulin, and liver transferases. Conclusion Overall, available data from observational and clinical studies indicated a trend for the relationship between MD and hepatic steatosis. Imp

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