However, in the present study we observed that only HMB supplementation was associated to liver size and plasma ALT increases, which could potentiate this risk. The history should be thorough, with special attention given to the use of medications, vitamins, herbs, drugs, and alcohol; family history; and any history of blood-product transfusions. However, a limitation is that the lciuhscob nkmeatkdjx eatqe thumb biochemical tests may be unspecific and rarely give the actual etiological diagnosis. Given that increased activity of AST and ALT can be seen up to 7 days after physical activity lifting weights it is suggested that physical activity have to be excluded for at least 7 days before biochemical laboratory examination Pettersson et al.
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