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In patients with heat stress-induced liver injury, a sharp increase in circulating alanine aminotransferase (ALT) and aspartate aminotransferase (AST) levels is extremely common

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13 C NMR (126 MHz, CDCl 3 ) 172.40 (C), 170.08 (C), 135.34 (d, J = 3.0 Hz, CH 3), 133.80 (d, J = 10.0 Hz, CH 6), 130.75 (d, J = 12.5 Hz, CH 6), 118.18 (d, J = 86.1 Hz, C 3), 38.97 (CH 2 ), 36.89 (CH 2 ), 36.64 (CH 2 ), 27.82 (CH 2 ), 27.56 (d, J = 16.7 Hz, CH 2 ), 22.96 (d, J = 50.4 Hz, CH 2 ), 22.11 (d, J = 4.1 Hz, CH 2 )

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grades of inammation were from focal to diffuse according to lamina propria inltration or subendothelial inltration