GC extract as drug of known brand name and manufacturer (0–2 capsules/day for 4.5 months). Dyspepsia as indication for treatment. Latency period of 4.5 months with reduced appetite and jaundice as symptoms. ALT 760 U/L, AST 408 U/L, ALP 337 U/L. On day 14 after GC cessation, ALT 379 U/L, and on day 24 ALT 207 U/L. Normalization of ALT not reported. Exclusion of hepatitis A–C reported, but details not presented. No exclusion of infections by CMV, EBV, HSV, and VZV. Autoimmune parameters not done. Sonography, MRCP and MRT with normal biliary tract. Insufficiency of the mitral valve. Here, GPT is linked to dyspepsia.