“…Several epidemiological studies have reported an increased risk of developing cancers, nervous system degeneration, immune damage, thyroid disease, metabolic disorders, and reproductive and sexual development disorders in the general population as well as in subgroups such as Vietnam War veterans heavily exposed to dioxins [ 100 , 102 ]. With respect to liver health, TCDD (2, 3, 7, 8-tetrachlorodibenzo- p -dioxin), the most toxic dioxin, has been shown to alter blood and hepatic lipid levels, disrupt bile synthesis, impair the microbiome, and strongly contribute to NAFLD development and progression through the activation of aryl hydrocarbon receptor (AhR) [ 103 , 104 , 105 , 106 , 107 ]. Several other dioxins, including PCBs, have become a major concern for liver health, given their strong association with IR and NAFLD/NASH, especially under diet-inducing obesogenic conditions [ 86 , 108 , 109 , 110 , 111 ].…”