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The primary risk factors for NAFLD include obesity (particularly central adiposity), type 2 diabetes mellitus , insulin resistance , dyslipidaemia (abnormal cholesterol levels), and metabolic syndrome

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That suggests a dynamic that contradicts concerns raised previously by a number of health organizations, such as the claim made by the NESM in a 2018 report (pdf) that there is substantial evidence that e-cigarette use increases risk of ever using combustible tobacco cigarettes among youth and young adults. That said, all of these surveys are only asking periodic questions about use

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