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However, the use of antioxidant vitamin D supplements may reduce the efficacy of chemotherapy and radiotherapy by decreasing the amount of reactive oxygen species and apoptosis (42) (Table 4)

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Diagnosis is made by exclusion of alcohol abuse and other causes of liver disease (HBV-related hepatitis, HCV-related hepatitis, autoimmune liver diseases, polycystic ovary syndrome, drug-induced liver disease and congenital causes such as hereditary hemochromatosis, Wilsons disease, alpha-1 antitrypsin deficit)

It is also available in supplement form and is sometimes used for various health purposes