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Am J Physiol Regul Comp Physiol

If enzymes rise after starting a medicine, the cause may be fatty liver progression, alcohol, gallstones, viral hepatitis, supplements, another medication, strenuous exercise, or a separate illness

To be even more specific, I imagine taking it at night with a snack before bed would probably be the best-case scenario as youll be asleep with the drug level peaks and therefore are in the drug trough for the daytime hours

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Patients who want or need blood work can reach out to the care team to discuss options, but there is no required lab check before the first prescription or at any follow-up point during ongoing care