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A European cohort from Erasmus MC (Netherlands) showed that overweight, diabetes, hypertension, and dyslipidemia independently increased liver-related events, including HCC, transplantation, and mortality, with multiple comorbidities amplifying risk several-fold across subgroups, including virally suppressed and non-cirrhotic patients (94)

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According to the overall malnutrition index (the sum of the three indices), patients receiving L-carnitine had a significantly lower frequency of malnutrition (with a minimum score of one) than did those receiving placebo [17 (41.5%) vs