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No significant heterogeneity among studies ( I 2 = 0%, p =0.42), so the fixed-effects model was used to combine the effect sizes

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Comparison of direct and indirect estimates Abbreviations AST aspartate aminotransferase CAP controlled attenuation parameter GLP-1RA glucagon-like peptide-1 receptor agonist 1 H-MRS proton magnetic resonance spectroscopy HOMA-IR homeostasis model assessment of insulin resistance NAFLD nonalcoholic fatty liver disease NAS nonalcoholic fatty liver disease activity score NASH nonalcoholic steatohepatitis RCT randomized controlled trial REFERENCES 1

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