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Antinuclear antibodies seem to be associated with more severe disease activity in NMOSD patients. Antinuclear antibodies seem to be associated with more severe disease activity in NMOSD patients. Coeliac disease (CD) is considered a high-risk condition for developing non-alcoholic fatty liver disease (NAFLD) and other related metabolic disorders, particularly after commencing gluten-free diet (GFD). Recently, a new concept of metabolic-associated fatty liver disease (MAFLD) has been proposed to overcome the limitations of NAFLD definitio