High gamma

[Sherrie-66]

Hi. I am a 52 woman and have just had a medical but my lft came back high. AST at 36 and gamma gt at 81. I don’t drink a lot about once every 3 weeks but probably sometimes over indulge. I am 2 stone overweight and have a healthy diet. When I had my medical I had not had any alcohol for 2 and half weeks so I am worried and the doctor has asked me to do the test again. Any advice would be much appreciated

[Hidden]

The most likely reason for your GGT being moderately raised is fatty liver however there are other possible reasons. If your next blood test shows that it is still raised an ultrasound to check for fatty liver & a FibroScan to check for fibrosis should be done. If the ultrasound shows that you have fatty liver then try to lose the excess weight. Being 2 stone overweight it's quite likely that you have fatty liver & picking it up now could be a blessing in disguise by being caught early & reversible by losing the excess weight. The thing to worry about is NASH which is fatty liver with inflammation. If an ultrasound shows that you don't have fatty liver then more tests should be done to eliminate other possible reasons for the raised GGT.

[Sherrie-66 in reply to Hidden]

Hi thank you for your advice. Do you know how long you should wait to get retested.

[Hidden in reply to Sherrie-66]

You hadn't had any alcohol for 2 ½ weeks but raised GGT due to alcohol takes up to 6 weeks to return to normal. Waiting a month would mean that you won't have drunk alcohol for 6 weeks. I'd wait 5 weeks just to make sure that any raised GGT due to alcohol is eliminated. Your AST at 36 is actually in the normal range & if the only value in your blood test out of the normal range was GGT & alcohol wasn't the cause then fatty liver (NAFLD) is the most likely explanation & you should be able to fix it by losing weight.

Dr. Melissa Palmer's Guide To Hepatitis and Liver Disease:

"In NAFLD, the GGTP level is often elevated, and the degree of elevation has been found by some investigators to correlate with the extent of fat deposits in the liver. It should be noted that NAFLD is the most common cause of liver enzyme elevation among adults in the United States."

[Sherrie-66 in reply to Hidden]

Thank you Edward for taking the time to reply. You certainly have put my mind at rest. I will resit the test in a months time. Thank you again.

[Hidden]

Hi Sherrie and welcome to this forum 👍.

On this forum We are not supposed to give advice wrt actual results.... all we are SUPPOSED to do is draw upon our own experiences where similar. 😁.

So, my own experience would say that it sounds that you are in good hands. Try to not worry about results TOO much. Yes we all know its anxious times, but as long as you keep pressing for tests and analysis that’s all you can really do apart from the obvious about looking after your health. No alcohol and a good diet is a good starting point and you say you’re already doing that! Doctors/Consultants spend years and years studying and practicing their skill so few of us, if any, can match their advice (although there are indeed one or two VERY knowledgeable people on here!)

So good luck and get those repeat tests done!

Miles

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[Sherrie-66 in reply to Hidden]

Thank you.