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After trying countless diets and treatments with no success, I found GLP-1 -

CrossRef Liver cirrhosis in metabolic dysfunction-associated steatohepatitis Donghyun Ko, Do Han Kim, Pojsakorn Danpanichkul, Masahito Nakano, Chitchai Rattananukrom, Karn Wijarnpreecha, Cheng Han Ng, Mark D Muthiah Gastroenterology Report .2025;[Epub] CrossRef From liver to limb: Exploring the association between fatty liver disease and peripheral artery diseaseA systematic review Vera Ciornolutchii, Abdulrahman Ismaiel, Jennifer Bogdan, StefanLucian Popa, Teodora SurdeaBlaga, Dan L

To compensate, lower back and deep gluteal structures like the piriformis can become overloaded a pattern that commonly generates trigger points over time

For larger changes or for people with metabolic disease, six months gives a stronger picture