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Common explanations include: Alcohol exposure , especially if intake has crept up during work travel, client dinners, or periods of poor recovery Medication effects , including prescription drugs that affect liver enzyme activity Supplement burden , particularly when someone is using multiple performance, fat-loss, or bodybuilding products without clear oversight Metabolic dysfunction , such as fatty liver or insulin resistance Bile duct or cholestatic problems , which become more concerning if ALP, bilirubin, itch, pale stools, dark urine, or abdominal pain are part of the picture That spread is why I do not read a raised GGT as a standalone verdict

* Correspondence: Marta Camici, [email protected] Disclaimer All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers

Seventh expert group meeting on Ddt