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second link Butler J, Shah SJ, Petrie MC, Borlaug BA, Abildstrm SZ, Davies MJ, Hovingh GK, Kitzman DW, Mller DV, Verma S, Einfeldt MN, Lindegaard ML, Rasmussen S, Abhayaratna W, Ahmed FZ, Ben-Gal T, Chopra V, Ezekowitz JA, Fu M, Ito H, Lelonek M, Melenovsk V, Merkely B, Nez J, Perna E, Schou M, Senni M, Sharma K, van der Meer P, Von Lewinski D, Wolf D, Kosiborod MN

Request comprehensive metabolic panels every 3-6 months that include: ALT and AST: Primary markers of liver cell damage GGT (gamma-glutamyl transferase): Sensitive marker for alcohol-related liver stress Bilirubin: Measures livers ability to process waste products Albumin: Indicates livers synthetic function Elevated GGT combined with normal or slightly elevated ALT/AST is a pattern that suggests alcohol-related liver stress even when other markers look acceptable

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