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Current UK guidance from NICE does not specifically list smokeless tobacco as a primary cause of NAFLD, though tobacco cessation is recommended as part of overall liver health strategies

Changes in liver enzymes Smoking has also been associated with higher liver enzyme levels in some people

Higher risk of fatty liver disease Studies show that smoking may increase the risk of non-alcoholic fatty liver disease (NAFLD), a condition where excess fat builds up in the liver

(You may also see the term metabolic dysfunction-associated steatotic liver disease, or MASLD, in recent literature

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