IGF1 and metabolic dysfunction-associated steatohepatitis: ↓ Serum IGF-1 levels associated with lobular inflammation and hepatocyte ballooning (112 ± 47 ng/mL vs. 136 ± 57 ng/mL; 115 ± 48 ng/mL vs. 135 ± 57 ng/mL respectively)Subset analysis of patients presenting NASH demonstrated lower mean serum IGF-1 levels compared to the respective negative controls (115 ± 8 ng vs. 137 ± 8 ng)