Liver Function Test

Liver function tests are blood tests that can help show up potential liver disease or liver damage. The tests measure the levels of certain proteins and enzymes in your blood.

Taking an at-home liver function test couldn’t be simpler: Once you’ve placed your order, we will send you a kit containing everything you need to supply us with a small blood sample. This involves a simple prick of the finger with a small, sterilised lancet, which you can carry out in the comfort of your own home. You then post this sample to our laboratory in the pre-paid envelope provided and we’ll do the rest!

The liver is a large organ that sits just under your rib cage on the right side of your abdomen. It is essential in breaking down and synthesizing compounds in the body.

Liver disease can be inherited (genetic) but the liver can also be damaged by a variety of factors such as viruses, alcohol consumption and obesity.

Liver disease doesn’t always cause noticeable signs and symptoms. However, over time, damage to the liver can lead to scarring (cirrhosis). If liver damage becomes more severe, symptoms may include:

• Skin and eyes that appear yellowish (jaundice)
• Abdominal pain and swelling
• Swelling in the legs and ankles
• Itchy skin
• Dark urine colour
• Pale stool colour
• Chronic fatigue
• Nausea or vomiting
• Loss of appetite
• Tendency to bruise easily.

If you experience any of these symptoms, contact your GP.

Albumin: Albumin is protein in your blood plasma. Low albumin levels might be the result of kidney disease, liver disease, inflammation, or infections. High albumin levels are usually the result of dehydration or severe diarrhoea.

Globulin: Your immune system and liver make globulin proteins. Your body needs globulins to fight off viruses and infections, form blood clots, and keep the liver and kidneys functioning.

Total protein: This is the sum of albumin and globulin in the serum.

ALT: Alanine transaminase (ALT), also known as alanine aminotransferase, is an enzyme that’s found throughout your body that, yet it’s primarily found in your liver. It is a marker for liver damage but may also be increased in muscle damage.

ALP: Alkaline phosphatase (ALP) like ALT, is an enzyme that’s found throughout your body that, and primarily in your liver. Very high levels are found in Paget’s disease and obstructive jaundice, whilst moderate elevations can be found in the infective liver diseases, cirrhosis, and tumours of the liver.

GGT: Gamma-glutamyl transferase (GGT), also known as gamma-glutamyl transpeptidase, is an enzyme that’s found throughout your body, primarily in your liver. GGT is a sensitive marker of liver damage, viral hepatitis, and fatty liver disease. It can also be elevated due to alcohol and drugs consumption and other non‐liver disease states including pancreatitis, diabetes, and obesity.

Total Bilirubin: Bilirubin is produced when the red blood cells in your body finish their life cycle and are broken down to pass through your bloodstream to your liver for processing. Your liver then sorts bilirubin with other waste products into a fluid called bile. Bilirubin has a red-orange colour, which gives bile its distinctive colour.

In most cases, the low levels of liver enzymes such as ALT are not a cause of concern. However, elevated levels may be a sign that your liver is not working properly.

The effects of decreased liver function may be:

• Jaundice: caused by excessive amounts of bilirubin (a pigmented waste product of old red blood cells) in the bloodstream.
• Cholestasis: occurs when the flow of bile stops because of a blockage inside or outside of the liver.
• Abdominal discomfort or “feeling full” due to an enlarged liver.
• Liver encephalopathy: when the liver fails to filter blood normally and remove harmful substances from the bloodstream, toxins can build up and travel to the brain.
• Liver failure occurs when many liver cells are damaged and are no longer able to function at all.

Damaged or inflamed liver cells release enzymes into the bloodstream, these elevated liver enzymes may be caused by:

• Fatty liver disease: fats build up in the liver. If this build-up is due to alcohol consumption, it is called alcoholic fatty liver disease. When alcohol is not the cause of the build-up of fat it is called non-alcoholic fatty liver disease (NAFLD).
• Metabolic syndrome: a group of symptoms that increase the risk of heart disease. These symptoms include high blood sugar, high blood pressure, being overweight, and high cholesterol.
• Hepatitis: a virus that leads to liver inflammation.
• Alcohol or drug misuse
• Cirrhosis: permanent scarring of the liver which can impair its function.

In short: Yes. The liver is the only organ that can repair itself and making certain lifestyle changes can reverse liver damage as long as the damage hasn’t gone too far:

• Eating a balanced diet
• Maintaining a healthy weight
• Regular exercise
• Cutting down on highly processed foods and drinks
• Look after your blood pressure and cholesterol levels
• Reducing or better still removing alcohol