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Studies have shown that certain bacterial genera such as Bacteroides, Akkermansia, Faecalibacterium, Roseburia, and Bifidobacterium are negatively associated with T2DM, while others like Blautia, Fusobacterium, and Ruminococcus are positively associated with T2DM [156]

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Summary: N-acetylcysteine (NAC) is not currently recommended by NICE or MHRA for treating fatty liver disease, though it may theoretically support liver health by replenishing glutathione and reducing oxidative stress

Environmental factorsprocessed foods, pesticides, and certain medicationscan compound the imbalance by taxing liver detoxification