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Given the high risk for cardiovascular disease in CKD in later life and the development of taste preferences and eating habits in early childhood, a diet rich in whole grains, vegetables, and fruits is desirable [11]

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Multiple clinical studies have shown that individuals with the MetALD phenotypedefined by the coexistence of metabolic dysfunction and alcohol consumptionexhibit significantly higher levels of transaminases, fibrotic markers (e.g., PIIINP, TIMP-1), and oxidative stress biomarkers than those with MASLD alone, suggesting a synergistic effect of alcohol on fibrotic progression [38,51]

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