Ketoconazole and liver function test abnormalities?

[Dimitri001]

Anyone know what this guy is talking about?

https://twitter.com/i/web/status/1464892924559183872

One study I saw showed no systemic absorption of keto when used in a shampoo, perhaps he is talking about some other type of use of keto? Does anyone know what study his claim is based on? (NOTE: His first sentence refers to finasteride, I think.)