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NBME F 1 B2 alcohol or ..? - silvy
#11
what's the effect of estrogens on the liver?
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#12
i'll go with alcohol also . nothing abnormal in the results except GGT , why will estrogen affect ggt ?
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#13
guys im not sure @ all regarding Est. it's the closest, alcohol cause inc in AST and ALT >3:1, here these r normal
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#14
but alchol can cause elevation in AST 2 times more than ALT in case of alcholic hepatitis , but can inrease GGT without causing hepatitis , so you can find elevation GGT without elevation of other enzymes
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#15
Sorry guys did not pay attention that PAL are normal,and the only abnormal lab is increase GGT think that the most frequent cause of an isolated increase ggt is Alcohol+ presentation may suggest higher alcohol intake
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