ALB and Decreased liver function: It is noteworthy that under normal conditions, the elimination process of a drug takes 4 to 6 half-lives, since the presence of liver dysfunction or reduced serum albumin levels can contribute to prolonging the elimination process.[13] In this case report, teriflunomide was discontinued, as it is considered the most likely cause of liver damage in the patient, taking ∼5 months for normalization of liver tests after discontinuation of treatment.