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[155] Concerns have been raised that non-combustible nicotine products could lead adolescents and young adults to start smoking cigarettes later on

The NAFLD liver fat score (NLFS) incorporates metabolic syndrome, type 2 diabetes status, fasting insulin level, and fasting aspartate aminotransferase/alanine aminotransferase ratio, and has an 86% sensitivity in detecting NAFLD (Kotronen et al., 2009)

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Tobacco use in Minnesota 2023 Cigarette use: Minnesota* Smoking rate in Minnesota In 2022, 13.0% of adults in Minnesota smoked