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Results revealed a reduction in hepatic lipid accumulation and oxidative stress, hepatic fibrosis via modulation of α-smooth muscle actin (αSMA), peroxisome-activated receptor gamma (PPARγ), and nuclear factor kappa B (Nf-κB) expression ( Treatment of NAFLD With L-Carnitine Supplementation Since the effects of NAFLD are reversible, it is important to control the disease in its early stages ( 10 , vitamin E, vine tea polyphenol, cytoprotective agents (ursodeoxycholic acid), and insulin sensitizers (pioglitazone and metformin) ( L-carnitine, the only biologically active form of carnitine, has been one of the most widely studied molecules for the treatment of NAFLD