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Acknowledgements The authors thank the support of AI-assisted language tools for improving the clarity and grammar of the manuscript

This, combined with obesity, type 2 diabetes, dyslipidemia, and other adverse effects on the liver, is referred to as the first strike. The second strike involves oxidative stress and pro-inflammatory cytokines, leading to systemic hepatocellular damage and liver inflammation (Musso et al., 2013)

These include various approaches to training and conditioning as well as nutritional strategies to improve peak exercise capacity as well as exercise efficiency

GCLC: Glutamatecysteine ligase catalytic subunit

5,7 Obesity is influenced by a variety of factors, including genetics, social determinants of health, and the environment