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The prevalence of obesity in Saudi female subjects was the highest reported all over the world and a report of increasing obesity in females from different Arab communities.17-19 The incidence of hypertransaminasemia in patients with fatty liver diagnosed by ultrasound is similar to other reports in the literature.20 Obesity and Type 2 diabetes often cluster fat plump together, hence 33 % of our subjects were diabetics. However, our study did not show any relationship between the duration of diabetes or glycemic control with fat plump the severity of fatty liver. This could be a biased result and explained by a fat plump rather small sample size and the fact that HbA1C was measured in 13 subjects only which was rarely available in the hospital. Another risk factor associated with fatty liver is the metabolic syndrome, which is characterized by obesity, hyperinsulinemia, peripheral resistance, diabetes, hypertriglyceridemia and hypertension.
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