ALT, AST, ALP & GGT (Liver Function Tests) - How to Interpret

[@MrSmith-yr9vk]

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.

[@Neenah44]

Did you have any other symptoms?

[@MrSmith-yr9vk]

@@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.

[@Neenah44]

@@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! 😊

[@MrSmith-yr9vk]

@@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.

[@ramathakur3667]

@@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

[@sadhucat4476]

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!

[@TachyTutorials]

Thank you for watching!

[@HepatitisBChannelHepatitisB]

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

[@MomJ_]

No one can do better explanation than this. i really find value

[@TachyTutorials]

Thank you!

[@stanleycates1972]

Excellent. Was diagnosed with autoimmune hepatitis and treated most of last year. Turned out to be an infected gall bladder.

[@jjohnson9822]

how u going now bro?

[@stanleycates1972]

@@jjohnson9822 good, except being 85. The body is worn out from overuse :)

[@ragavansrinivasan1961]

Good evening sir, were is treatment autoimmune hepatitis primary bailary colanjaitis.

[@damariskendrick2591]

Hello Mr Stanley Cates. Did you have to take prednisone or azathioprine? Asking because I had the same diagnosis and my gallbladder removed.

[@MsCarrionswarm]

Symptoms of infected gallbladder?

[@rosegallus4048]

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.

[@TachyTutorials]

Thank you so much for your great feedback! Very useful! Glad you enjoyed and welcome to the channel!

[@aparnabiju1575]

The best video out there on LFTs!! Thank you so much!

[@TachyTutorials]

Thank You!

[@rubidiumandi2334]

True

[@andrewadali6121]

@@TachyTutorials ,

[@ZahidHussain-ht4tw]

Right 👍👍

[@nickthrasher4948]

Mine was due to alpha1antitrypsin deficiency! I think everyone with the high levels should be checked for this today! It’s not an expensive test and needs an early diagnosis when possible🙏

[@obaahemaacandy9082]

This is the best explanation ever…..

[@DrNancyLivingCoCreatively]

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.

[@Orangina345]

What was high? I have ALP moderately high, GGT normal and. mTHFR mutation . Thanks!

[@MsCarrionswarm]

Antidepressants cause problem in liver?

[@oldschoolguy80s]

Amazing doctor! Thank you for the interpretation! 🙏👍

[@DrPrabhakarRao]

Excellent presentation to Doctors and Patients

[@drhadizasuleiman717]

Your interpretation is amazing, i ws able to grasp it easily. Thank you so much, God bless you. Hadiza from Nigeria.

[@TachyTutorials]

Thank you for your support!

[@lb4660]

Tacky tutorials Can the DTaP shot raise AST if given directly before blood work?

[@praveenmadhubhashana4185]

Thank you... you saved many hours of my study time 🥰❤️

[@TachyTutorials]

Glad you found it useful 😊

[@jahajoel]

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

[@lizsave7204]

That truly was the best and most informative, easy to understand explanation ever. Thank you!

[@TachyTutorials]

Thank you for watching! 🙂

[@gafarolamilekanolanshile1714]

Thank you so much.... Best I have ever seen.

[@TachyTutorials]

Wow! Thanks so much 🙂

[@pradeepkumarsrivastava5890]

In India, we frequently find ALT values in thousands, 2 to 3 thousand , in case of Viral hepatitis

[@naman20gupta]

Yes absolutely.. Patients need not worry as Hepatitis can cause ALT level as high as 10000 (as in my case). So be relaxed and get admitted under medical supervision immediately and you will be fine within weeks or maybe months..

[@lettymelton6613]

Excellent presentation! Thank you very much!

[@TachyTutorials]

Appreciate the comments. Thank you very much

[@Gracey-yz8zn]

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..

[@DL-jf9fn]

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?

[@drendolob]

Alcoholism 🔥

[@brax5715]

@@drendolob what if you do not drink?

[@brothertn708]

How’s your liver doing now?

[@mudassarjabeen7548]

Yes ,u also want to ask , same reports,,can't interpret

[@mudassarjabeen7548]

@DL 0001

[@jean-francoisduquette8336]

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.

[@ValentinaKajcinovska]

What if you don't drink and no it's not

[@edwardl.492]

i have elevated GGT and i get high from sugary drinks.. that made a lot of sense

[@Gemsurbangarden]

What if you have high GGT (125) and slightly raised AST and ALT but normal ALP? Ultrasound showed fatty liver 18 months prior but since then the AST and ALT levels have reduced (although still elevated)

[@rayreyes8497]

Excellent explanation.

[@TachyTutorials]

😀😀😀

[@annebeauclair5918]

what about NAFLÐ (non alcool fatty liver disease)?

[@ThePartyyChat]

Exactly this video is dumb trying to scare people

[@damariskendrick2591]

Thank you for this video.. God bless 🙏

[@TachyTutorials]

Thanks for watching 🙂

[@vivekabhyankar6565]

Wonderful explanation. Keep sharing more

[@TachyTutorials]

Thank you for your support!

[@JK-hf2cx]

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.

[@12mach]

Tell him cut pork out diet its high polysatured fats are higher than alcohol

[@delaagbeko-konu9893]

Well explained to my understanding. Thank you very much

[@nainazia30]

ALt 180 Ast 68 What to treat for it??? Plz give me advice and tell me is it normal

[@LearnNursingEasy]

Good explanation, animations superb.

[@TachyTutorials]

Thank You!

[@justmontina]

Thank you so much for the clear explanation!

[@TachyTutorials]

Glad you found it useful 😊

[@mercyzengeni9391]

Genius. amazing explanations

[@TachyTutorials]

Thank You!

[@huytiennguyen586]

Excellent explanation. Thank you.

[@TachyTutorials]

Thank you for watching!!!

[@phillipwalter8993]

ALP elevated by osteoblasts,so bone disease perhaps but technically does not need bone destruction, so can differentiate early versus late Pagets on test questions

[@fridaespinoza945]

Amazing explanation!

[@TachyTutorials]

🙂🙂🙂

[@charlesnya5766]

What could a high AST:ALT ratio (>2) with low to normal GGT suggest?

[@ezvahedi1387]

great explanation, thank you very much

[@TachyTutorials]

Your welcome 🤗

[@ramankitbhai]

Can anyone plzz explain me the difference between liver infection and liver damage???

[@uatdks803]

excellant teaching

[@TachyTutorials]

🙂

[@spinedoc18]

Could raised ALT and AST be due to beta blockers and/or anti-coagulants?

[@jonathanharina7556]

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

[@naeemqureshi6485]

Great lecture.

[@TachyTutorials]

🙂

[@aintgonnaletuknow5758]

very clear explanation, thank you very much

[@bobcocampo]

What does it mean if there is no liver damage? Does it mean that it is functioning well?

[@stanceworks7995]

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

[@fatumafatuma4077]

Wow thank u for this eloquency 👏🏻👏🏻👏🏻

[@TachyTutorials]

Thanks for watching 🙂

[@mehrabmanteghian8071]

It was more than awesome! Keep up!

[@TachyTutorials]

Thank you! Glad you enjoyed 🙂

[@Chrissy0325]

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.

[@Jeswin_Jose]

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.

[@NurseQuipy]

Normal AST &ALT but alightly high GGT ( results 43 &51) can chemo do this?

[@S.BOfficial786]

The doctor told me my ggt level is slightly mildly raised im worried and dont understand this can you guide me more is this life threatening

[@b.b.finsclara3589]

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????

[@dettevalderrama5387]

Very good explanation...❤

[@CCMforall]

Excellent explanation❤

[@priscanaab9226]

Very educative

[@YaasiDominic]

Woow😮, very understandable

[@KingSlayer-qm6vi]

Great analysis but i suggest you to use better microphone for sound quality

[@RCRM22]

Fantastic video. Thank you

[@billwilson6199]

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?

[@user-ou8pe9it8j]

What about Liver Steatosis? NAFLD?

[@mariashieladolosa8239]

Thank you so much for this very informative video.

[@TachyTutorials]

Thank you for watching 🙂

[@Cand.yasmin]

What if I only have elevated GGT but I don’t drink alcohol?

[@CatsAreNiceMeow]

I was diagnosed with fatty liver but my doctor said it is unnecessary for me to have a GGT test performed. Is this true?

[@Doinmabestt]

Great vid Thanks!

[@TachyTutorials]

Thanks for watching 🙂

[@kevinsomers8923]

I am not a drinker or take medications. I am not over weight, in fact, i have lost 40 lbs. and very weak and tired. I was in the hospital this week and my liver enzymes were ALT 444 and AST 554. My hepatitis tests were negative. What can cause these very high readings? Thank you

[@nahidkarimi7473]

Hello Kevin did you ever find out why your AST were high I just did blood work mine ast is 151 , what cause that any treatment for that ?thank you

[@kevinsomers8923]

I am scheduled for an MRCP next week to try and find out. The Dr. Said he hasn't ever seen someone's readings were so high without an obvious cause. Could be autoimmune hepatitus or a tumor or cancer or blocked bile duct or spincter of oddi.

[@adrianarivas5648]

Hey Kevin do you have any symptoms I was admitted to the hospital 2 weeks ago. Because alt 760 and ast 730 I had fever stomach pain and I've been having shortness of breath

[@kevinsomers8923]

@@adrianarivas5648 I had all those except fever. They never figured out why my readings were so high. Mine came back down.

[@thebeast09876]

@@kevinsomers8923 FASTING FASTING FASTING: Try to fast an entire month and re-take the test again.

[@iraklibokuchava8019]

AlT - 37.0 U/I is normale range?

[@darkmoon3646]

U absolute gem Thankyou

[@TachyTutorials]

Thank you so much! 🙂🙂🙂

[@johnbonamigo5696]

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?

[@tahirhussain4488]

Very nice explained

[@isaackaddu]

Wow , Awesome thank you Doctor

[@EddyCor_Paris]

Very helpful video. Thanks a lot. 👍

[@toniaschianodicola2344]

Well explained

[@TachyTutorials]

Thank you! 🙂

[@praveennaidu9873]

My ast 52.8 and alt 86.1....sap 103 pl suggest it's ok

[@asiaaslam4369]

Really superb

[@TachyTutorials]

Thank you so much! 🙂

[@narminafandiyeva8875]

Thank you, that was very easy to absorb 🙂

[@TachyTutorials]

Thanks for watching 😀

[@karenstanton5405]

Thank you l understand it better now

[@monanaveed7894]

My ALT and ALP is mild raised after my C section surgery. What could be the cause

[@RAWRitzLiZzi]

did you find out the cause?

[@monanaveed7894]

@@RAWRitzLiZzi dehydration may be and alot of antibiotics and painkillers use after surgery

[@rogerv2784]

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?

[@pavanpabbireddypavanpabbir1897]

My ggt level went to 166 and i dont know what to do? Any suggestuons ?

[@timh-c7186]

​@@pavanpabbireddypavanpabbir1897 ...suggest low carb/keto diet

[@timh-c7186]

sugar causes high GGT, as I understand it

[@mard7569]

My test include AGPT and SGOT not sure what it means.

[@coryturner9140]

What about alkaline phosphatase at first test 182 now 211, 5 weeks later and alt at 48? Thoughts? Everything else seems to be good

[@bourethphay8136]

This is the amazing video 🎉

[@TachyTutorials]

Thanks 😀

[@andreatedtaotao2914]

Excellent presentation!!!! Thank you.

[@TachyTutorials]

Thank you!

[@andradesaav]

Awesome video! New sub man

[@TachyTutorials]

Thank you so much!

[@derickmartis220]

good info thanks

[@wixy369]

ihave an Isolated high GGT all others are normal, and im not an alcohol drinker, What could this isolated ggt mean?

[@shoot4thstars]

I have the same, and it accompanies hepatobiliary problems. I have read, it can be indicative of inflammation of the bile ducts.

[@KULDEEPSINGH-zr9vw]

Very informative

[@TachyTutorials]

Thank you!

[@ionut4k280]

AST alt also in the muscle found so it’s false reding only good one is ggt on liver

[@AKm-cs7ju]

That was really beneficial 🤌🏼

[@obimpehbenjaminteye9100]

What if both alt and ggt raised.?

[@vacaspen5038]

very helpful thanks

[@TachyTutorials]

Thank for watching! 🙂

[@ragnaricks]

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

[@labexamhints5963]

Thanks. good and perfect

[@TachyTutorials]

Thank you for watching!

[@chrisreynolds8939]

Wishing you had included a low ALP result. Otherwise, great information.

[@sunilpanday1785]

Good explanation, thank you

[@TachyTutorials]

Thank You!

[@stronger3381]

ty 4 the awesome video

[@TachyTutorials]

Thanks for watching 🙂

[@happiness1522]

Hello, does fasting required for liver function test? Thanks.

[@happiness1522]

@JB Thank you so much.

[@medicalbiochemistry_]

Good job

[@ancabostinariu6550]

Thanks great summary.

[@TachyTutorials]

🙂🙂🙂

[@gulumamu2472]

i am hep b patient what test results interpret that i am in danger or out of danger?

[@Rayoody1988]

What if ALT, AST, ALP are normal but GGT is high 59 u/L. I do not drink alcohol at all. But the test was done after 2 hours of eating.

[@ValentinaKajcinovska]

Are you okay now GGT should be 30-35