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Mediation analyses were additionally performed to explore the potential role of TMAO as a mediator of the association between choline and its related metabolites and NAFLD risk

Acetyl-L-carnitine and alpha lipoic acid supplements are generally safe when taken in recommended doses

Mean body mass, BMI, waist circumference, hip circumference, systolic and diastolic blood pressure at baseline and post-fasting are presented in Table 2

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The Roland Morris Disability Questionnaire (RMDQ) and Pain Rating Scale (PRS) were utilized in the trial to document any adverse events and changes in pain perception and functional activities