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A.
The liver enzymes are produced by intact liver cells and the level rises with injury, whether it is alcohol induced or due to virus infection or auto-immune disease affecting the liver. No doubt in some cases more than one pathology can co-exist. Liver biopsy however shows the specific type of damage that can occur as well as the presence and absence of different white blood cells and the general structure of the liver architecture if normal or otherwise. So it is essential for a correct diagnosis and I suggest you agree to have this test.
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