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PubMed Manning MC, Chou DK, Murphy BM, et al

The estrogen-deficient state may disrupt this careful coordination of energy substrate uptake and utilization, impairing postprandial insulin-mediated suppression of adipose tissue lipolysis and leading to a chronic excess supply of circulating NEFA to the liver, eventually overwhelming its capacity for lipid removal to cause liver fat accumulation (86)

2002 Dec;56(6):295-301

But the fact is, the baseline competitive level is going to reorient around what these drugs make possible, and you can choose to compete or not. In the afternoon, we drove over to Phillipss housea big place, handsome and new, with a sweeping deck overhanging the Deschutes River