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Study aim
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Determination the effect of Empagliflozin on thyroid function in patients with non-alcoholic fatty liver disease (NAFLD) referred to Shahid Mofateh Clinic in Yasuj city
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Design
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The clinical trial will have a control group, with parallel groups, double-blind, blocked randomization, phase 3 on 40 patients, the sample size in each group will be 20 people. The software used is G power version 3.1.9.4.
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Settings and conduct
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After identifying patients eligible for inclusion in the study from among those referred to the Shahid Mofatteh Clinic , the patients were divided into two groups in a block randomization manner providing.
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Participants/Inclusion and exclusion criteria
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The inclusion criteria for the study were non-alcoholic fatty liver disease (NAFLD) on ultrasound in individuals over 18 years of age, as well as ALT greater than 33 in men and greater than 25 in non-diabetic women. After identifying the patients, they were divided into two groups of 20 .
Exclusion criteria:Alcohol consumption more than 20 grams per day/History of hepatitis B or C virus infection/Autoimmune hepatitis/Other liver diseases/Taking any hepatotoxic or thyroid medication/Diabetes/Pregnancy/breastfeeding/History of cancer or treatment for thyroid cancer within the past 2 years/BMI more than 40
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Intervention groups
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Initially, tests (ALT, AST, Fatty liver grade 1, grade 2, grade 3, T4, TSH) are taken from all individuals in both groups. Then, for the experimental group, the drug empagliflozin (10 mg/day)(4) is prescribed once a day orally, along with a diet and exercise program, and for the control group, only a diet and exercise program is applied.The exercise program includes 30 minutes of daily walking, and the diet plan includes a 10% reduction in daily calorie intake from carbohydrate intake
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Main outcome variables
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ALT; AST; ALKP; TSH; T4; T3