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doi: 10.1172/JCI148667 86 CaligiuriAGittoSLoriGMarraFParolaMCannitoSet al

76 Serum Bile Acid Concentrations: Pre- and Postprandial Markedly increased preprandial (i.e., 12-hour fasting) bile acids concentrations are often found with portosystemic shunting as a result of interrupted enterohepatic circulation of the bile acids.77, 78 High 12-hour fasting plasma bile acid concentration is a sensitive, but nonspecific indicator of portosystemic shunting