Elevated Liver Enzymes In Hyperthyroidism and Graves’ Disease.
Has anyone heard of this?: Elevated Liver Enzymes... - Thyroid UK
Has anyone heard of this?


I never heard of this Before now. I just had recent blood test and I have high Alkaline Phosphate and my thyroid levels are low.
Interesting. I went back 16yrs into my medical records and the liver test has been elevated quit a lot through the years and I always suffered with severe panic attacks and feeling constantly on edge and before my thyroidectomy I had episode of my eye popping out of socket and liver test elevated then too.... never had weight loss and never heart palpitation.
Might need to mention it to my Endo next month.
Can anyone elaborate on this? I always have elevated liver enzymes and I am hypothyroid/hashimotos. Although my FT4 is over range and my FT3 is very low in range...?
According to my research it says hyperthyroidism can cause elevated Alkaline Phosphate although their is other reasons. I have no thyroid and my FT4 is low no idea about FT 3 since Endo won’t do it.
I too have Hasimotos and my ALP has been elevated since my levothyroxine was increased from 50 micrograms to 75 (and then to 100). My T4 is towards the top of the scale, but my T3 is not. My TSH is low. My liver function has been tested on more than one occasion and is fine. I have noticed that the ALP is always more elevated when I get it tested first thing in the morning and I have fasted due to testing for thyroid function as well. When I get the blood test done late afternoon, my ALP is still elevated, but not as much so. I am not sure if this difference is due to me eating, the time of day or perhaps because I've taken thyroxine.
I am told mine is elevated, never knew why as i don't drink. So perhaps mine is also due to my hyperthyroidism. I take 125 Levothroxine daily. My biggest struggle is to loose weight. I never had weight issues, was always between 10.5 & 11 stone now 15 stone 😥 i eat a balanced diet and walk and exercise but still cannot shift this weight.
I became hyperthyroid apx 7 years ago, not sure why but it was around the time I gave up smoking.
One thing I know for sure is I had thyroid cancer and prior to the cancer I was always told nothing is wrong but she only ever tested my TSH over the years and it was in range (all over the place) but that could simply been because of random testing times🤷♀️ and upon further investigation after recently receiving my recent blood test my Alkaline Phosphate is elevated and I looked further back in my health record and it has been elevated off and on throughout the past 16yrs ... prior to my thyroidectomy I had severe episodes of panic attacks and asked her about being hyper was always told NO I even had my eye pop out of socket a couple times and still told NO to any thyroid problems. Just cancer “weird”.
It’s interesting about Alkaline Phosphate being connected to hyperthyroidism and other stuff and I too struggle with excessive weight gain after the thyroidectomy and of course no endo can find a logical explanation “except its my fault” before the surgery I was fit, thin and full of life ... now everyday is a struggle.

It's quite well known: eg this paper
Endocrinology, Diabetes & Metabolism
Open Access
Liver enzyme profile and progression in association with thyroid autoimmunity in Graves' disease
Albert Hsieh Stephen Adelstein Susan V. McLennan Paul F. Williams
First published: 15 July 2019
Elevated liver enzymes are common in hypothyroidism too.
Karen
My LFTs have been very high for over 15 years, all tests repeatedly done including liver biopsies and no other cause found. My Gastro and Hepatologist now consider it normal for me.
When you say high, how high?
They vary quite a bit up and down and I don't have all to hand but ALP has been 386, ALT 153, GGT 285, they are just the ones I picked out, there are lots !!
Mine vary too and I just had my first Video chat with my Rheumy such a crummy experience and she said oh your inflammation markers and Alkaline Phosphate levels are pretty high but its fine ... honestly I think doctors are too casual with peoples health to even consider the little things if your not full blown sick or half dead “its the no big deal” attitude you get.
Its been my personal experience with illness that every issue starts out small but troublesome to me to only be blown off by the doctors as no big deal and this goes on for a while even years until BOOM my no big symptoms increase or turn strange and things start to happen and then they finally give me a diagnose of thyroid cancer ..... this is how my entire health goes no big deal to full on this can kill you disease! “sigh”
Yep same here, gallbladder polyp found a year ago and just monitored as not a worry until now when I'm being fast tracked to theatre as very urgent !! but then again a lot of things do turn out to be nothing worrying so I understand the docs approach, my LFTs as I said have been whacky for years, I've had numerous scan, tests and liver biopsy which I wouldn't wish on anybody ! yet nothing dodgy found so I have to go along with that 🤷♀️ It also depends how high is high, with LFTs they don't really get worried until results are consistently very high, usually into the 1000s and with such high numbers other obvious signs would be present. I'm at an age now and with a life history of medical troubles I've got to the stage of not worrying anymore.
I was told this last Sunday after spending the day in A and E with a fast heart rate. I was told I had high level liver enzymes as if I had been drinking lots of alcohol.
Did they say high liver enzymes would cause fast heart rate?
No they still haven't told me what the problem was. I had a CT scan because they suspected a clot on my lung because the blood test they did was abnormal. Luckily I didn't have a clot but as a result my GP has given me 6 weekly b12 injections now instead of 8 weekly. All the A and E Doctor said was that the liver test was normally found in people with Type 2 Diabetes. I am borderline for that. I still don't know the exact tests I had until my notes come through from the hospital
It would be interesting thread to listen to others medical experiences
Bad doctor is he still in practice?
You were going to check which anti-bodies were tested to confirm Hashimotos or Graves. Any luck ?
I was only responding to a comment you made in the past when you were unsure which anti-bodies were tested. At the time you said you were waiting for your hospital records to check. Having read above you have now received your records I was merely wondering if you had any answers. I was not aware I keep asking - so I presume from that remark you still do not know - or perhaps you do !
There are a lot of sick people on this site and sometimes our brains become confused and we forget that you may have given some information to us the last time we posted a question.
And, remember, Marz is one of them.
Having been an active member on this Forum since 2011 - created 805 Posts - with 361 Followers - I am more than aware there are many poorly people.
Yes you are right you have no idea what members are going through. Perhaps you should have asked why my Replies are shorter and to the point rather than dishing out your opinions ... as it happens my eyesight is deteriorating and I am awaiting surgery - so I am finding it difficult to type and am keeping things brief where possible.
Perhaps you are referring to my suggesting people re-read their earlier posts to see previous replies - again this is to save time duplicating information already detailed by helpful Admin. and others. Should you check you will see those Replies are endorsed by many Likes - including Admin. I am sure they would soon tell me if I was being sharp and unsympathetic. You cannot please everyone all of the time - with almost 110K members that is unrealistic. We all have our individual styles - and appeal to different members.