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The index event for patients in the GLP-1 agonists group (study group) included the point in time in which patients had a diagnosis of MASLD/MASH and the use of a GLP-1 agonist at least twice and at least three months apart after diagnosis

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1 Introduction Fibrosis is characterized by the destruction of fibrous connective tissue, activation and proliferation of fibroblasts, elevated collagen fiber secretion, and excessive deposition of extracellular matrix (ECM) (Zhang and Zhang, 2020)