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doi:10.1016/j.cmet.2008.07.005

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The first step in decoding DILI is to classify the pattern of liver injury: Hepatocellular injury is characterized by marked elevations in alanine aminotransferase (ALT) or aspartate aminotransferase (AST), usually three times or more above the upper limit of normal (ULN)

Texas MD License #J2933) , evaluates systemic factors (diabetes, anticoagulation, infection risk), assures safe anesthetic use, and confirms appropriate candidates for prolotherapy