ALT, AST, ALP & GGT (Liver Function Tests) - How to Interpret
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- เผยแพร่เมื่อ 12 มี.ค. 2021
- In this TachyTutorial, we explore the basic principles of interpreting Liver Function Tests. We explain what the enzymes ALT, AST, ALP, GGT and what the clinical significance is if their levels are raised. We also explain some special relationships between these enzymes!
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DISCLAIMER: This video is made for educational purposes only and is not made for medical advice. Please consult a doctor or other qualified healthcare professional for medical advice. The information in this video only represents the knowledge of the individual speaking in it and not those of any institution or other individual(s). We are not responsible for any errors or liabilities held within these videos.
#LiverFunctionTests #ALT #HowToInterpret
Like everyone else here is saying - this is an amazingly digestible breakdown of liver enzyme analysis. I actually feel like I have some rough idea of how to interpret values now. Thank you!
Thank you for watching!
Seems way too dramatic bearing in mind everyone often has raised alt.... with every course of pain killers, pub visit, protein shakes use, junk food lifestyle and many passing infections. None of these raises represent liver damage... so maybe remove the damage and put back the function where it belongs
For me, my higher than normal liver function tests revealed a silent problem that was going on. My ALT and AST started getting out of range growing higher each year (Over a three year period by the lab work results). My ALT hit 153 and AST was 88. ALT by the chart was over 113 past normal and AST was 40 points over. So what was causing my Liver to start hitting the panic button??? Well, an ultrasound of the liver showed the Renal Cell Carcinoma that was growing on my right kidney. MRI showed the tumor growing on my left kidney. From what I have read, the ALT enzyme reacts when the RCC gets into the renal artery. Well, two surgeries later, loss of right kidney and a piece of my left my numbers are back in range. I was in good shape, non-drinker, non-smoker, exercised everyday. If your numbers are getting out of whack and your Dr's tell you to stop eating fast food (That's what the dude told me, turned out to be Cancer) just make sure to keep looking at the problem. My bad Liver Function tests saved my life because I kept trying to find out why it was bad and I indeed found out why.
Did you have any other symptoms?
@@Neenah44 For RCC, not a single one. If I would have just done nothing, I probably would be Stage 3 or 4 by now. My Urologist said that if the tumors would have been reversed, the Ultrasound on my liver would not have seen the tumors and I would not have made 60. I was 46 when we found RCC Stage 2.
@@MrSmith-yr9vk Thank you for answering me I appreciate it very much. I’m happy that you were persistent in finding out why your numbers were growing higher. You literally saved your life. A great lesson on advocating for ourselves! Thanks again. Happy new year! 😊
@@Neenah44 Happy New Year to you and you are very welcome. RCC was not the answer I wanted to hear, but it was the answer to my problem so far.
@@MrSmith-yr9vk bro.... i have ....258.0 - AST,471.9 -ALT,221.9-GGTP,447.00 - ALP ............ i was used to be proper in shape with 83 kg BW...now it turned into 73 in just 2 weeks.... i used to hit gym.... no alcohol ..even not fast food intake.... nd now i fukd upp
All I can say is WOW!
I could not understand these enzymes any better.
I like the fact that you started by highlighting where each one of them is found and that made it very easy to Interpret the results.
Im officially your subscriber from now.
Thank you so much for your great feedback! Very useful! Glad you enjoyed and welcome to the channel!
The best video out there on LFTs!! Thank you so much!
Thank You!
True
@@TachyTutorials ,
Right 👍👍
No one can do better explanation than this. i really find value
Thank you!
Beautifully done, sir!
Excellent presentation to Doctors and Patients
Fantastic video. Thank you
That truly was the best and most informative, easy to understand explanation ever. Thank you!
Thank you for watching! 🙂
Wonderful explanation. Keep sharing more
Thank you for your support!
This is the best explanation ever…..
Excellent presentation! Thank you very much!
Appreciate the comments. Thank you very much
Very helpful video. Thanks a lot. 👍
This is awesome. I have actually learnt alot from watching this and am glad I found your channel. Please can you give us tutorials on lipids profile as well
Thank you so much.... Best I have ever seen.
Wow! Thanks so much 🙂
Excellent explanation. Thank you.
Thank you for watching!!!
very clear explanation, thank you very much
Your interpretation is amazing, i ws able to grasp it easily. Thank you so much, God bless you. Hadiza from Nigeria.
Thank you for your support!
Genius. amazing explanations
Thank You!
Thank you so much for the clear explanation!
Glad you found it useful 😊
Excellent. Was diagnosed with autoimmune hepatitis and treated most of last year. Turned out to be an infected gall bladder.
how u going now bro?
@@jjohnson9822 good, except being 85. The body is worn out from overuse :)
Good evening sir, were is treatment autoimmune hepatitis primary bailary colanjaitis.
Hello Mr Stanley Cates. Did you have to take prednisone or azathioprine? Asking because I had the same diagnosis and my gallbladder removed.
It was more than awesome! Keep up!
Thank you! Glad you enjoyed 🙂
Thank you so much for this very informative video.
Thank you for watching 🙂
Thank you... you saved many hours of my study time 🥰❤️
Glad you found it useful 😊
Wow , Awesome thank you Doctor
thank you so much for this video and the important information included herein.. had lab tests done and both alt were aboeve normal, the 2nd result was even higher than the 1st and ast also was above normal but abdominal ultrasound shows normal liver impression..
Wow thank u for this eloquency 👏🏻👏🏻👏🏻
Thanks for watching 🙂
Very nice explained
Excellent explanation❤
Amazing explanation!
🙂🙂🙂
Very good explanation...❤
Awesome video! New sub man
Thank you so much!
Good explanation, thank you
Thank You!
Good explanation, animations superb.
Thank You!
great explanation, thank you very much
Your welcome 🤗
U absolute gem Thankyou
Thank you so much! 🙂🙂🙂
Thank you thank you thank you! ❤️
Thanks for watching!
excellant teaching
🙂
Thank you for this video.. God bless 🙏
Thanks for watching 🙂
thank you. really really useful.
Thank you for watching 😀
Great lecture.
🙂
Thanks great summary.
🙂🙂🙂
Excellent explanation.
😀😀😀
I suggest you look into anti dressants. I have MTHFR c677t. My liver detoxes 70% slower. I allowed myself to be put on an anti present well butrin an enzyme I a had under control rose.
What could a high AST:ALT ratio (>2) with low to normal GGT suggest?
Great vid
Thanks!
Thanks for watching 🙂
Good job
ty 4 the awesome video
Thanks for watching 🙂
very helpful thanks
Thank for watching! 🙂
This is the amazing video 🎉
Thanks 😀
Thank you, that was very easy to absorb 🙂
Thanks for watching 😀
In India, we frequently find ALT values in thousands, 2 to 3 thousand , in case of Viral hepatitis
Thanks. good and perfect
Thank you for watching!
Really superb
Thank you so much! 🙂
Very informative
Thank you!
Well explained
Thank you! 🙂
Got ur subscription deserves it
Brilliant
Just amazing
Thank you! Glad you enjoyed 🙂
Thank you!
Your welcome 🙂
Upon getting my Bloom simple tests results.....de hace discovered i am experiencing "LowLevels of GamaGlutamylTransferase" I am uncertain what that implies....i do know i am experiencing VeryLowEnergyLevels????
what about NAFLÐ (non alcool fatty liver disease)?
Could raised ALT and AST be due to beta blockers and/or anti-coagulants?
So with a small raise in GGT on blood test but all others are fine is most likely cause I drank a shit ton of alcohol 4 days before during a crazy weekend?
Doc my ast is 21.3 and my alt is 26.5 which the ratio is .80 that is less than 2, but my upper right abdomen is painful and the right side of my ribs, what is that doc? Could you enlightened me for that situation
Concise and to the point. So helpful! Thank you so much!
Glad you enjoyed!
Thank you so so much 😍😍
Thanks for watching 🙂
Can anyone plzz explain me the difference between liver infection and liver damage???
my blood tests came back and everything was good except my ALP was very low - what does this mean? The lab did not explain anything. Can this be the reason for Rosacea and/or weight gain?
My AST and ALT were normal
i am hep b patient what test results interpret that i am in danger or out of danger?
I was diagnosed with fatty liver but my doctor said it is unnecessary for me to have a GGT test performed. Is this true?
What does it mean if there is no liver damage? Does it mean that it is functioning well?
My ast level is 36 and alt is 18 , but ast alt ratio is 2 , is there any problem?
Hight GGT only is : Auto brewery syndrome is also known as gut fermentation syndrome and endogenous ethanol fermentation. It's sometimes called “drunkenness disease.” This rare condition makes you intoxicated - drunk - without drinking alcohol. This happens when your body turns sugary and starchy foods (carbohydrates) into alcohol.
What if you don't drink and no it's not
What about alkaline phosphatase at first test 182 now 211, 5 weeks later and alt at 48? Thoughts? Everything else seems to be good
Thank yo so much
Amazing video, thank you! if GGT, is raised and ALP is normal, accompanied by elevated AST and ALT (AST higher than ALT, but both raised), what is the likely outcome for that?
Alcoholism 🔥
@@andrewlobuznov what if you do not drink?
How’s your liver doing now?
Yes ,u also want to ask , same reports,,can't interpret
@DL 0001
Normal AST &ALT but alightly high GGT ( results 43 &51) can chemo do this?
Very clear video. What is the potential diagnosis please if there is an isolated abnormal ALT of 127? I am talking about a young nondrinker who does not so suffer from haemochromatosis. I mention haemochromatosis because his serum ferritin is also high, as is his creatinine. No viral hepatitis detected.
Tell him cut pork out diet its high polysatured fats are higher than alcohol
Alt 40. AST 30. Alp 47. Ggt 85u/l.
Have not drank alcohol for 5 years. What’s up with ggt being 20 points out of range?
Thumbs up👍👍👍
Thank you!
Best video
Thank you for watching 🙂
I am 25 yrs old and my ALT came out 157.9 and AST at 78.7. WTF, can this still be lowered? It is 3x and 2x of the normal levels
What if my ast is slightly elevated am I okay ??
My ast 52.8 and alt 86.1....sap 103 pl suggest it's ok
You got a subscriber.
Thank you and welcome to the channel! 🙂
@@TachyTutorials Thank you.
ALt 180
Ast 68
What to treat for it??? Plz give me advice and tell me is it normal
My test include AGPT and SGOT not sure what it means.
Wishing you had included a low ALP result. Otherwise, great information.
Great analysis but i suggest you to use better microphone for sound quality
My alt is 20 and my ast is 20. This is the second time they have been the same. Is the ratio important to look at? My ALP is within normal limits and my doctor didn't comment on it so I don't know if I should bring it up. I have been diagnosed with fatty liver in the past with NASH 1 but I lost about 50 lbs since then but gaining 15 back. My last CT Scan did not show fatty liver so I am just concerned about the ratio since my 15 lb gain.
Did you get the answer for your concern?..I also want to know whether the ratio is important or the values of AST and ALT are important.
Ast Alt ratio is 1.35 normal or not.
ihave an Isolated high GGT all others are normal, and im not an alcohol drinker, What could this isolated ggt mean?
I have the same, and it accompanies hepatobiliary problems. I have read, it can be indicative of inflammation of the bile ducts.
AlT - 37.0 U/I is normale range?
What about Liver Steatosis? NAFLD?
Hello, my GGT numbers are coming out to 111 other than that everything else is good. I have over a year and a half with out drinking alcohol just recently i had 1 drink thats it. What are the factors that could be causing my numbers to continue to increase? And is it reversable? If so how can I drop the numbers?
My ggt level went to 166 and i dont know what to do? Any suggestuons ?
@@pavanpabbireddypavanpabbir1897 ...suggest low carb/keto diet
sugar causes high GGT, as I understand it
I had fever vomiting for a week then had my ultrasound and blood work done in the 11th day of my first symptoms
My blood test showed multiple times higher liver enzymes alt was the highest tho.
I started developing jaundice at the 10th day.
I had my ct and another ultrasound by the end of the second week but it was all good except for a few lymphnodes enlarged next to the gallbladder.
On the 19th day i had a new blood work and it showes all enzymes decreased drastically and it is not too far from highs normal levels. Thats being said bilirubin kept increasing and hit 125 umol/l while it was 77 in the first blood work.
I am feeling much better but still cant eat normally because i get uncomfortable feelings in my guts
Any ideas?
It sounds like a bile duct blockage perhaps? Blocked by sludge. The bible ducts release bile that aids in helping to break down the food we eat so the stomach can digest it. If there's a slow down in bile production, then it effects how we digest food and can cause stomach pain, but if it's mainly the Alt that's elevated, it can often point to liver and the Ast can be liver but very high can point to the billery system. I'm not a doctor, but since I have chronic liver disease, I would naturally do the research. Your P.C.P should get you set up with a G.I./ heptology Doctor. It's not like you will get any answers on these sites from an actual Dr. As they hate to give info without running their exams on the patient first, and perhaps to even get in trouble hand out info. But again you should see a specialist being a G.I. / heptology, I would!! Good luck.🙏
Thanks sir 👍👍
Thank you for watching! 🙂
Thank you so much for sharing this info! I just received my blood test result and have high ALP. The rest are alright so now I can decide to do a bone scan first just to make sure everything is ok. Cheers!
Mine started with ALP and then the rest started to elevate in a cyclical pattern. Just be sure to follow up every few weeks, months, whatever your doctor recommends.
What if the ALP is LOW ?