GPT and cirrhosis of liver: Nevertheless, in view of an AST/ALT ratio of < 1 [13] making an alcoholic etiology less likely, the RUCAM score of 8 suggestive of a probable causality with the exposure to the DS [15], the spontaneous improvement in liver function upon cessation of the DS (positive dechallenge) and the liver biopsy showing signs of DILI with an injury pattern consistent with turmeric hepatotoxicity [14], without signs of liver cirrhosis, we have retained the diagnosis of DILI, whose primary etiology was the consumption of the DS containing turmeric and black pepper.