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And as of late 2017, 64 cities or municipalities in California have established smoke-free beach ordinances

These include: Obesity , particularly central (abdominal) obesity, with risk increasing substantially when BMI exceeds 30 kg/m Type 2 diabetes and insulin resistance, present in up to 70% of people with NAFLD Dyslipidaemia , characterised by high triglycerides and low HDL cholesterol Metabolic syndrome , a cluster of conditions including high blood pressure, elevated blood sugar, excess abdominal fat, and abnormal cholesterol levels Polycystic ovary syndrome (PCOS) , which involves insulin resistance Lifestyle factors also play a substantial role

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[74] Prenatal alcohol exposure risk may be assessed by a qualified physician, psychologist, social worker, or chemical health counselor