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Other contributing factors include chronic inflammation , hormonal imbalances (such as polycystic ovary syndrome), certain medications (including corticosteroids), and ageing

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Figure 1 Figure 2 After 6 months of treatment, the elevated liver enzyme levels had improved and a third liver biopsy was performed

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doi: 10.1111/dom.12132 79 KimuraIOzawaKInoueDImamuraTKimuraKMaedaTet al