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As these bacteria are often diminished in Hashimoto thyroiditis and Graves disease, it has been suggested that gut composition and mineral regulation may have an impact on these diseases

Causes of Elevated GGT Liver disease: Hepatitis (viral, alcoholic, toxic) Cirrhosis Biliary obstruction (gallstones, tumors) Alcohol consumption (even moderate intake can increase GGT) Medications: Phenytoin Phenobarbital NSAIDs Some antibiotics Pancreatic disease Congestive heart failure (secondary liver congestion) Key Points for Interpretation Sensitive but not specific GGT rises in many liver conditions, so it must be interpreted alongside other liver function tests (LFTs)