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All but one of these five people has hyperuricemia, but not everyone gets gout [1]

In a pivotal 2023 consensus statement, international liver associations proposed redefining disease terminology, replacing NAFLD with metabolic dysfunction-associated steatotic liver disease (MASLD) and NASH with metabolic dysfunction-associated steatohepatitis (MASH) (7)

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However, most studies are based on the analysis of stool microbiota which may not be fully representative of the small intestinal microbiota which can translocate through the intestinal barrier