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In conclusion, most of our 48 consecutive patients with `primary' fatty liver had a characteristic clinical picture compatible with the insulin resistance syndrome including letter to the editor obesity with visceral fat deposition, letter to the editor hypertension, glucose intolerance and typical dyslipidaemia. Moreover, simple measures aimed letter to the editor at improving metabolic profile, such as weight reduction and the use of anti-diabetic or lipid-lowering drugs, were associated with marked reduction or normalization of liver enzyme levels in most patients, confirming the association, and suggesting that the natural course of this entity is benign and treatable.    Acknowledgments   The authors thank Dorit Karsh for her help with the statistical analysis and Rina Stanover for her assistance in preparing the manuscript.
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