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Diet is a factor here (with meat once again being the best source)

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doi: 10.3390/v17081069 496 LeeDKKangJYShinHSParkIHHaNJ

Current research on the gut microbiome in the context of pediatric MASLD is limited by small sample size, inadequate use of liver biopsy, methodological inconsistencies in sequencing, and confounding effects from metabolic comorbidities