Biomonitoring studies show that humans carry a body burden of multiple classes of contaminants which are not often studied together. Many of these chemicals may be hepatotoxic. We used the 2003–2004 National Health and Nutrition Examination Survey to evaluate the relationship between alanine aminotransferase (ALT) a sensitive indicator of liver cell injury, and 37 environmental contaminants, comprising heavy metals, non dioxin-like polychlorinated biphenyls (PCBs), and dioxin-like compounds.
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