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The 2019 European guidelines for management of adult obesity in primary care 36 and the South Asian consensus on MNT in diabesity (CoMeND) 1 give importance to a decrease in WC over weight loss alone, as a decrease in WC is associated with a decrease in visceral fat and its associated cardiometabolic risks

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An increased infiltration of neutrophils and hepatic steatosis is also observed

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