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In NAFLD, gut flora dysbiosis often leads to reduced BSH activity, manifested as the accumulation of conjugated bile acids (such as taurocholic acid and taurochenodeoxycholic acid) in feces and serum, while unconjugated and secondary bile acids (such as deoxycholic acid (DCA) and lithocholic acid) decrease

References: 1 Brunton LL, Knollmann BC, Hilal-Dandan R

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Eating enough protein and staying active are the two most effective ways to keep the weight loss mostly fat