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Benzyl alcohol, while a robust preservative, is not invincible

105 Conditions associated with subnormal GGT levels Acute intrahepatic cholestasis Subnormal serum activity of GGT is often observed in cases of acute intrahepatic cholestasis due to various causes such as drug-induced liver injury, viral hepatitis, or autoimmune liver disease

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In CFS, the diagnosis had been made by internal medicine specialists at the Helsinki of University Central Hospital, where the diagnostic criteria followed the 2003 Canadian Consensus Criteria ( Table 2 , samples taken 1 4 months before starting L-carnitine administration)