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Clinical manifestations range from asymptomatic elevations in serum transaminases to more severe conditions, including cholestatic jaundice, peliosis hepatis, hepatic adenomas, and, in rare cases, hepatocellular carcinoma (75)

10.1111/j.1476-5381.1993.tb12847.x [DOI] [PMC free article] [PubMed] [Google Scholar] Ballester J., Valentine G., Sofuoglu M
The non-randomized trial by Pettegrew et al 12 assessed with ROBINS-I, showed a critical risk of bias from confounding and serious risk from participant selection, although other domains were low risk

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