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There are a variety of reasons. The common pathway that accounts for pale stool is an relative absence of bile in the stool (since breakdown products of bile give stool its color). This could be due to a defect in the liver apparatus that excretes bile into the stool, for example. It could also be due to an obstruction in the bile duct system that transmits bile from the liver to the small intestine. The distinction between each can be made by a physician by running common tests called liver function tests (LFTs) in the context of a proper history and physical exam.

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