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AST Elevation Is Greater Than Elevated or Normal ALT The primary causes of higher AST levels in comparison to the ALT levels include, but are not limited to, the following: Alcohol can damage genes for enzymes like alcohol dehydrogenase, aldehyde dehydrogenase, and cytochrome P450 2E1, leading to higher acetaldehyde and estrogen levels in tissues and blood48,49,50

Although there have not been many large-scale studies on the effects of micronutrients on fertility, a Additionally, a 2023 study notes that vitamin D may play a role in helping people conceive

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