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Cohen LJ

But that story leaves out almost everything that matters

Covert hepatic encephalopathy (CHE) is a disease without clear clinical symptoms, and cognitive abnormalities are observed only in patients with cirrhosis [1]

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doi: 10.1073/pnas.1217611110

Nonetheless, for purposes of this discussion, a person is considered to have normal ALT levels when there have been two or more determinations identified to be in the normal range of a licensed laboratory over six or more months