Metformin, gliclazide, pioglitazone, and most insulins (in biosimilar form) are widely available as generics
All medications come from licensed 503A compounding pharmacies serving all 50 states
In summary, EA represents a promising adjunctive therapy for MASLD with multifaceted mechanistic effects targeting lipid metabolism, insulin sensitivity, inflammation, oxidative stress, autophagy, and gut barrier function through integrated neuro-endocrine-immune pathways
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