Specifically, compared with the median concentration of metal mixtures, serum levels of ALT, AST, ALP, GGT, CHE and TBA exhibited a gradual increasing trend with the elevation of blood metal mixture concentrations, whereas serum TBil, DBil and IBil showed a decreasing trend ( Figure 2 ).
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Association of heavy metal mixtures with liver function biomarkers: multi-model analysis identifies cadmium as the primary driver.
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