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This is especially problematic on GLP-1 medications where fluid intake tends to decrease naturally

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Auxiliary value of receptor antagonists in the treatment of secondary fatty liver In addition, propranolol can reduce the peripheral lipolysis rate (with a 32% decrease in Ra FFA) in burn patients complicated with fatty liver, while maintaining the hepatic very low-density lipoprotein-triglyceride secretion rate to prevent fat accumulation in hepatocytes

In both cases, exogenous melatonin seems indicated to correct the dysfunction