“…They found that OSGIN1 and FGF21 levels were elevated in people with ALC, and that levels of OSGIN1 correlated with levels of FGF21. Interestingly, OSGIN1 levels were highest in the cirrhosis group at the Child-Pugh C stage, while FGF21 levels were highest in the combined Child-Pugh A/B group compared to Child-Pugh C. 71 Another study that measured serum FGF21 levels in people with alcohol-associated hepatitis vs. people with decompensated alcohol-associated cirrhosis found elevated FGF21 levels in the hepatitis group compared to cirrhosis. 72 Together, these data indicate that acute alcohol exposure increases FGF21, and that ALD is associated with elevated FGF21 levels, which may be blunted in more severe forms of ALD in which the liver is cirrhotic and reduced overall functioning.…”