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type 2 diabetes (49%), the researchers observed a greater mean reduction in ALT by 32.9 U/L among those with diabetes ( P = .02)

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Four macrolide antibiotics are available in the US (erythromycin, azithromycin, telithromycin, and clarithromycin), and all have been linked to liver injury of varying severity [120]

It is a possible mechanism to explain what is happening