“…In previous studies, the association between hypothyroidism and NAFLD has been researched from various perspectives, both clinically (Chung et al, 2012;Pagadala et al, 2012;Lee et al, 2015;Ludwig et al, 2015;Mantovani et al, 2018;Hu et al, 2019Hu et al, , 2020Hu et al, , 2021 and biologically (Ferrandino et al, 2017;Gionfra et al, 2019;Lonardo et al, 2019). The causality, however, is still unexplored (Efstathiadou et al, 2018).…”