Metabolic disease <==> SFA fraction in livers.

SFA fraction elevation in livers "shows a strong, negative correlation with hepatic insulin sensitivity."

Which way the causality, as de novo lipogenesis leads to liver SFA? https://twitter.com/ethanjweiss/status/1252607583946289154
As for the DNL question:

https://academic.oup.com/ajcn/article/77/1/43/4689632

Lean and obese alike in this small human study had higher hepatic DNL on a HCLF diet.

On a LCHF diet, lean and obese normoinsulinemic had low DNL. Obese hyperinsulinemic still had high DNL even on LCHF!
Interestingly the recent study at the top of this thread found different fat composition in VLDL-TG as opposed to intrahepatic fat via MR spectroscopy while this older paper with different methods found the composition to be indistinguishable.
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