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doi: 10.1016/j.jbc.2022.102077, 130

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