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156 , 157 While on average, persons with persistently normal ALT values have significantly less liver fibrosis than persons whose ALT levels are abnormal, 78 , 155 , 158 , 159 there are reports of marked fibrosis (5%30%) and even cirrhosis (1.3%) in persons with normal ALT values

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Analyses used Cox proportional hazards models and time-varying models to evaluate risk over time

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