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Without such institutional reforms, the successful implementation of SUMP initiatives will remain elusive, and the potential of these plans will be limited by inefficiencies and conflicting priorities across sectors

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In addition, metabolic dysfunctions, such as insulin resistance, dyslipidemia, and cardiovascular disease are all associated with hepatic steatosis, and seem to be more related to hepatic fat accumulation and NAFLD than obesity status per se [2, 9, 10]

De Palma, M

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