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2021 Aug;10(8):890-901

Therefore, since ALT values can fluctuate over time, a common definition for the existence of persistently normal aminotransferase levels is the identification of an ALT value of less than 40 IU/L on 2 to 3 occasions separated by at least a month over a period of six months

.,De MinicisS,SekiE,OesterreicherC,SchnablB,SchwabeRFBrennerDAReduced nicotinamide adenine dinucleotide phosphate oxidase mediates fibrotic and inflammatory effects of leptin on hepatic stellate cells.2008;48(6):20162026

the use of pro-GSH molecules (Fraternale et al., 2006) and/or glutathione precursors like N-acetyl cysteine (NAC), glutamine, cysteine (cystine) and glycine, as well as nuclear factor erythroid 2 p45related factor 2 (Nrf2) inducers like sulforaphane can enhance glutathione production and increase nuclear Nrf2 translocation and antioxidant response element (ARE) transcription (Komaravelli and Casola, 2014