“…Levels at birth are one-fourth that in adults, but these levels increase rapidly reaching adult levels by the second month of life. In adults, enzyme activity is reported to show large temporal variations over the course a year, is higher in men than in women, and is lower in women taking oral contraceptives and in individuals with liver disease (30-50% in acute and longstanding chronic hepatitis) (Whittaker et al, 1971;Sidell and Kaminskis, 1975;Hayes, 1982;Sidell, 1992;Kisicki, 1999). Decreases of 50-70% occur in advanced cirrhosis and carcinoma with metastasis to the liver (Kisicki, 1999).…”