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In people with NAFLD, particularly those with steatohepatitis or fibrosis, your doctor may advise abstinence or further reduction Diabetes and lipid management : Optimising control of blood glucose and cholesterol levels through medication when necessary Monitoring and follow-up are important components of liver health management

Some observational studies suggest that patients with NAFLD who continue using tobacco products may have higher rates of advanced fibrosis compared to non-users with similar metabolic profiles, though the strength of evidence specific to smokeless tobacco remains uncertain

Johns Smoking Cessation Program Northeast Florida AHEC presents free "Quit Smoking Now" and "Tools to Quit" classes for all forms of tobacco

Nicotine and tobacco constituents may promote hepatic steatosis by increasing insulin resistance and impairing liver fat metabolism

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