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Your GP may refer you to a hepatologist if your FIB-4 score suggests possible advanced fibrosis, if an Enhanced Liver Fibrosis (ELF) blood test shows a score of 10.51 or above, or if you have persistently abnormal liver function tests despite lifestyle changes

Furthermore, because ALCAR can influence thyroid hormone activity by blocking the entry of thyroid hormone into the cell nucleus, individuals with hypothyroidism or those taking thyroid replacement medications should use ALCAR with caution and under medical supervision

Yuan, Z.-F

Overall, these results suggest that oral GSH supplementation can effectively increase body stores of GSH and may also reduce oxidative stress and enhance certain aspects of immune function, particularly NK cell cytotoxicity