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Initially, the pathogenesis of NASH was explained by the 2-hit hypothesis, where the first hit, hepatic triglyceride accumulation (steatosis), increases the livers susceptibility to injury from second hits, such as inflammatory cytokines, mitochondrial dysfunction, and oxidative stress [37,38]

Cellular Energy and the Mitochondria Inside every cell are tiny power plants called mitochondria

It activates monocarboxylic acid transporter 1 (MCT-1) and succinyl-coA transferase in the heart, enzymes involved in ketolysis [87]

Tissue remodeling signals: GHK-Cu is often discussed as a reset signal that helps organize repair