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An investigation by the journal found an unacceptable level of similarity to a 2010 paper by Leisman that was published in the International Journal of Adolescent Medicine and Health , according to the retraction notice

This is always abnormal and is likely to indicate an inborn error of metabolism or structural defects of the bile ducts

10.3389/fphys.2018.00477 Front Physiol

Similar results were seen in an additional study from this group that identified a modest increase in urinary MEHP in Taiwanese patients with either endometriosis or adenomyosis (Huang et al., 2014)