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Abbreviations ADMA: Asymmetric dimethylarginine ALT: Alanine aminotransferase AST: Aspartate aminotransferase BA: Bile acid BMI: Body mass index CA: Cholate CDCA: Chenodeoxycholate Cer: Ceramide 95% CI: 95% confidence intervals DAG: Diacylglycerol DCA: Deoxycholate DMG: Dimethylglycine FC: Fold change FFA: Free fatty acid GABA: -aminobutyrate GCA: Glycocholate GCDCA: Glycochenodeoxycholate GDCA: Glycodeoxycholate GDM: Gestational diabetes mellitus GGT: Gamma-glutamyl transferase GLCA: Glycolithocholate GPC: Sn-glycerol-3-phosphocholine GUDCA: Glycoursodeoxycholate HDL-C: High-density lipoprotein-cholesterol LCA: Litocholate LDL-C: Low-density lipoprotein-cholesterol LysoPC: Lysophosphatidylcholine LysoPE: Lysophosphatidylethanolamine MASLD: Metabolic dysfunction-associated steatotic liver disease MRM: Multiple reaction monitoring OR: Odd ratio PC: Phosphatidylcholine PE: Phosphatidylethanolamine PI: Phosphatidylinositol SAH: S-adenosylhomocysteine SM: Sphingomyelin TAG: Triacylglycerol TCA: Taurocholate TCDCA: Taurochenodeoxycholate TDCA: Taurodeoxycholate TLCA: Taurolithocholate TGs: Triglycerides TMAO: Trimethylamine- N -oxide UDCA: Ursodeoxycholate References Sweeting A, Hannah W, Backman H, Catalano P, Feghali M, Herman WH, Hivert MF, Immanuel J, Meek C, Oppermann ML, et al

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Focus on consuming chlorella, fresh ground flax seed, soaked chia seeds, and good quality Omega-3 oil high in EPA and DHA