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doi: 10.1007/s00125-017-4315-2 135 HeiseTMariADeVriesJHUrvaSLiJPrattEJet al

You don't just dump water in

In the same year, there were 50 million obese females and 74 million obese males in the world [6]

Also What about the other effects that can happen with Long term use

Its a genetic variant that affects the bodys ability to process folate (or vitamin B9)

In adolescents and adults of both genders, diagnosed with NASH or hepatic steatosis, CD36 gene and protein expression were increased compared to healthy controls