GPT and systemic lupus erythematosus: Our results agree, indeed, with those of Lam et al., who found in their prospective, double-blind, randomized controlled trial, no difference in reversal of PNAC at 4 months between FOLE and SLE groups, although they noticed a significantly higher increase of plasma-conjugated bilirubin and alanine aminotransferase in the SLE group, suggesting a slower progression of PNAC using fish-oil lipid emulsion [18].