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Changes in alanine aminotransferase in adults with severe and complicated obesity during a milk-based meal replacement programme.

Razk AbdalgwadMohammed Faraz RafeyConor MurphyIulia IoanaPaula Mary O'SheaEoin SlatteryColin DavenportDerek Timothy O'KeeffeFrancis Martin Finucane
Published in: Nutrition & metabolism (2020)
In adults with severe and complicated obesity undergoing a milk-based meal replacement programme, there was an initial unanticipated rise in ALT in the first 2 weeks, followed by a gradual overall reduction by 24 weeks. These findings suggest that rapid weight loss secondary to significant caloric restriction might induce a transient deterioration in hepatic steatosis prior to an ultimate overall improvement.
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