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Fertilizer made from city sewage has been spread on millions of acres of farmland for decades. Scientists say it can contain high levels of the toxic substance.
Apparently, it’s a contributing factor, yes. NIH says that a review of over a hundred studies found links between PFAS exposure and liver damage, including steatosis.
https://www.nih.gov/news-events/nih-research-matters/study-links-synthetic-chemicals-liver-damage