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Studies investigating a potential association between hypothyroidism and non-alcoholic fatty liver disease (NAFLD) showed conflicting results and large-scale population-based data from Germany on this topic are currently missing. It was the aim of this analysis to investigate the impact of thyroid gland disorders on the prevalence of NAFLD in Germany. In this case-control study, using the German disease Analyzer database (IQVIA), NAFLD patients were matched to patients without NAFLD by age, ****, index year, treating physician, diabetes