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Under President Donald Trumps second term, the language of strategy has given way to a heightened language of civilization: warnings of civilizational erasure in Europe, invocations of a Judeo-Christian heritage under siege, and threats to Iran destroy the Iranian civilization

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Graphical Abstract Keywords Metabolic dysfunction-associated steatotic liver disease, Glucagon-like peptide-1 receptor agonist, Clinical trial, Treatment, Metabolic dysfunction-associated steatohepatitis, Fibrosis Introduction Nonalcoholic fatty liver disease has been used to describe hepatic steatosis without significant alcohol intake

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Given the clinical success of acetylcarnitine supplementation in other fatigue-associated diseases and the small number of currently available treatments for long COVID, we believe that acetylcarnitine may also be a potentially effective dietary supplement for neuropsychiatric long COVID syndrome and call for further action to investigate this hypothesis in further clinical trials