A fixed-dose combination of leucine, metformin, and sildenafil (NS-0200) showed a trend towards reducing liver fat in a high-dose regimen within a subgroup of patients with elevated baseline ALT in a phase 2 trial [ 76 ].
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Dysregulation of the AMPK-SREBP1-FASN axis in MASLD: driving a vicious cycle of lipotoxicity and metabolic-immune crosstalk.
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