Inclusion criteria:
Willingness to cooperate and sign the informed consent form after full knowledge of the objectives and methods of the study.
Girls and boys aged 7 to 18 years.
Having a Z score of body mass index higher than 1 and less than 3 for age and sex.
Diagnosis of MASLD based on imaging findings and metabolic criteria
Exclusion criteria:
Other diseases and chronic and acute liver disorders (hepatitis B, C, etc.), biliary disease, known autoimmune diseasesو and inherited disorders affecting the liver (iron, copper, etc.).
History of alcohol consumption or alcohol consumption more than 10 grams per day in women and more than 20 grams per day in men.
Pregnancy or breastfeeding in women
Take hepatotoxic drugs such as phenytoin, amoxifen, and lithium
celiac disease, diabetes, cardiovascular disease, lung disease, and kidney disease
Substance abuse, chronic inflammatory disease, history of cancer, hormone therapy, recent weight loss diet.
Consume St. John's wort, omega 3, coenzyme Q10, and carnitine
Take medications or supplements that affect appetite, weight, or metabolism for at least 6 months before the study (such as medications that affect carbohydrate, protein, or fat metabolism, and medications that reduce or increase appetite or food intake, including herbal supplements).