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It is associated with a higher risk of progression of steatosis to MASH, fibrosis, and cirrhosis

The expression of estrogen receptors as well as GREB1, c-MYC, and cyclin D1, estrogen-regulated genes implicated in proliferation, is increased in peritoneal endometriosis

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This subtype demonstrates elevated OXPHOS activity and increased mitochondrial gene expression, reflecting a reliance on mitochondrial metabolism rather than glycolysis for energy production (83)
