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Monitoring Progress When addressing elevated GGT, it is helpful to track: GGT trends over time AST and ALT Fasting glucose and insulin Lipid markers Inflammatory markers Improvement in GGT often precedes visible changes elsewhere

314 TomodaA.MiikeT.YamadaE.HondaH.MoroiT.OgawaM.et al (2000)

Discussion The key role of autoimmunity, through the involvement of both humoral and cellular immunity, in the pathogenesis of vitiligo has been clearly accepted