Hello,
Just wanted to ask if I am entitled to request the ELF test from my GP? I was diagnosed with NAFLD 3 years ago and NICE guidelines say you should have the ELF test every 3 years to check for fibrosis. I've had 2 sets of blood tests done in the last 5 weeks, which show worsening liver function (raised Alkaline Phosphatase and ALT), so I'm a bit concerned. The GP has asked me to get LFTs repeated in another month. I think the ELF test would give me peace of mind.
Hi. It sounds like they should do some more testing to see what is going on. Have you had a Fibroscan? That tells what percent of your liver has fatty changes and what level of scarring (if any) you have. It can show progress if you have lost weight, increased exercise, eating healthy diet for fatty liver, etc.
Hi,
Thanks for replying.
I had a Fibroscan nearly 3 years ago - result was 9.7 kpa. I subsequently changed my diet/increased exercise and my LFTs improved, but now they're bad again (ALT is higher than it's ever been, although not severely high). I have asked to be referred for a repeat Fibroscan (the Hepatologist did recommend this in her discharge letter), but I would really like the ELF test and not sure if I'm entitled to just request it, or not.
I am not sure to what extent GPs are obliged to follow the NICE guidelines. I have been consulting them in connection with a lung condition I have and in that case they are quite clear about certain ongoing surveillance that my GP simply is not interested in doing. I am sure things vary from surgery to surgery. My GP is only interested in providing the bare minimum. Yours may be more responsive. I suggest you ask your GP. The worst they can say is "no". At which point you can raise the NICE guidelines and make them justify their stance. Wishing you well.
Thank you - I have asked my GP if I can have it and am awaiting their reply. Wishing you well too!
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