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Moreover, ROS inhibit hepatocyte secretion of VLDL and promote hepatic insulin resistance, inducing liver fat accumulation and necro-inflammation

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[425] Reliability of the measure was assessed with the Cronbach alpha score [426] to determine whether the survey questions reliably measure the same underlying characteristic, that is, patients' assessment of the clarity and applicability of recovery instruction

Eligibility requires a BMI over 35 with at least one weight-related condition, or sometimes a BMI over 30 if other criteria are met