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Article summary:

1. Chronic liver diseases are strongly linked with hormonal influences, and the roles of sex hormones and sex-related hormones in liver disease depend on various factors such as biological sex, disease stage, precipitating factor, and lifestyle factors.

2. Hormones deliver their hepatic regulatory signals primarily via classical and non-classical receptors in different liver cell types, and exogenous sex/sex-related hormone therapy may serve as a novel strategy for metabolic liver disease, cirrhosis, and liver cancer.

3. The undesired hormone-induced liver injury should be carefully studied in pre-clinical models and monitored in clinical applications, especially for menopause females with hormone replacement therapy (HRT) and transgender populations who want to receive gender-affirming hormone therapy (GAHT).

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