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In addition, we found that TG levels in HepG2 cells were not reduced by NaB intervention alone but were markedly reduced by the combination of NaB with GLP-1, suggesting that NaB alleviated hepatic steatosis partially through enhancing GLP-1 action

And these trigger the release of hormones such as cortisol and adrenaline

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That is why patients are instructed to remain nil per os (NPO) after midnight or for a defined fasting window before surgery