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25 It is well established as a very sensitive marker of hepatobiliary disease, with lower specificity than aspartate aminotransferase (AST) and alanine aminotransferase (ALT) for diagnosis of liver disease 26 , however, it is more sensitive than ALT and AST in anicteric, non-alcohol related parenchymal disease

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The enzyme VTE4 is involved in the final stage of -tocopherol biosynthesis (Table 1, Figure 2)

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