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Takahashi M, Suzuki R, Osakabe Y, Asai JI, Miyo T, Nagashima G, et al

A European cohort from Erasmus MC (Netherlands) showed that overweight, diabetes, hypertension, and dyslipidemia independently increased liver-related events, including HCC, transplantation, and mortality, with multiple comorbidities amplifying risk several-fold across subgroups, including virally suppressed and non-cirrhotic patients (94)