Intrahepatic lipid ( IHL ) and intramyocellular lipid ( IMCL ) concentrations were determined by using H-MRS before and 3 and 5 h after a high-fat with added protein meal ( 61.5 % of energy from fat ) or a high-fat without added protein meal ( mean SEM : 51.1 7.9 g of protein ; 191.9 9.9 kcal added ) in a randomized crossover study .