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Results: Among, 545 subjects at-risk individuals, [age44(36-53) years,35.7%females,77.9%obese, 34.6% diabetes,34.4% hypertensive, 36.1%dyslipedemic], 226(41.5%), 207(37.9%), and 112 (20.6%) were LR, IR, and HR by FIB-4 classification