What's this test for?

This test is ideal if you're already diagnosed with advanced liver scarring (fibrosis) from NASH and want to understand your risk of it progressing to cirrhosis or other serious liver problems. It's meant for people who have known fatty liver disease with significant scarring, not for general liver screening. Your results give a clearer picture of how active the scarring process is right now.

What's included in this test?

This test combines three separate markers that together reflect how active the scarring process is in your liver tissue. Each marker captures a different piece of the puzzle - some show new scar tissue forming while others show the breakdown machinery that can either build up or clear away that scarring. Combining them into one score gives a more complete view of liver scarring activity than any single marker alone.

What happens after I get my results?

Your results will appear in your account with the ELF score and an explanation of what the normal and elevated ranges mean. Depending on where your score falls, next steps may include lifestyle changes like reducing alcohol, managing weight, and improving your diet, or retesting periodically to see if your score is changing over time. You can download a standard lab report from your account at any time, and the trends feature lets you track your score across multiple tests to see if things are improving or worsening. If your score is very high, it's worth seeking medical care promptly to discuss the risk of advanced liver disease.

How can I naturally support liver health?

Cutting back on added sugar and alcohol are two of the most effective changes you can make, since both contribute directly to fatty liver and scarring. Losing even a modest amount of weight (5-10% of body weight) has been shown to reduce liver fat and inflammation. Regular physical activity, eating more vegetables and fiber, and avoiding processed foods can also help calm liver inflammation over time. Coffee (in moderation) has also been linked to better liver health in several studies.

When will I get my results?

Results are typically ready within about 7 days of your sample being collected. You'll get a notification once your report is available in your account, where you can view your score and download the full lab report.

Who should consider this test?

This test is best suited for people already diagnosed with NASH (nonalcoholic steatohepatitis) who have advanced fibrosis and want to monitor their risk of progressing toward cirrhosis. It's also useful for those wanting an objective marker to track alongside lifestyle changes aimed at improving liver health. It is not intended as a general screening test for people without a known liver condition.

What symptoms indicate I may need this test?

Since liver scarring often has no obvious symptoms early on, this test is usually relevant if you've already been told you have fatty liver disease or NASH. Signs that may prompt this test include unexplained fatigue, mild discomfort in the upper right abdomen, or if imaging or prior bloodwork already flagged liver scarring. If you have risk factors like obesity, type 2 diabetes, or a history of heavy alcohol use combined with known liver findings, this test can help clarify your risk level.

What is liver fibrosis and why does it matter?

Liver fibrosis is the buildup of scar tissue in the liver that happens when the organ repeatedly tries to heal itself from inflammation or damage, often from fatty liver disease. Over time, too much scarring can stiffen the liver and eventually lead to cirrhosis, where the liver struggles to function properly. Catching and tracking fibrosis activity early gives you a chance to make changes that may slow or even reverse some of that damage.

How often should I retest?

Retesting frequency depends on your baseline score and overall liver health, but many people with known advanced fibrosis retest every 6 to 12 months to track whether their score is stable, improving, or worsening. If you're actively making lifestyle changes, retesting can help you see whether those changes are having a measurable effect. Because ELF scores can change gradually, testing too frequently (like every few weeks) usually isn't necessary.

What should I do if my results are abnormal?

If your score comes back elevated, start by focusing on the lifestyle factors most linked to liver scarring: reducing alcohol, cutting added sugar, and working toward a healthier weight. Keep an eye on your score over time using the trends feature to see if your efforts are making a difference. If your score is significantly elevated or continues to climb, it's important to seek medical care to discuss further evaluation and treatment options.

Getting your blood test with us is easy, private & backed by the power of science.Long story short: In the test options, use the filters or search box to narrow your choices and find the test you want. If you need a hand navigating through options, text our super friendly support team at 754-799-7833, and we'll provide tailored suggestions to help you find the ideal test. Once your order is placed, we’ll create your doctor’s lab order remotely, without any need for you to make a trip to a doctor in person or to talk to the doctor. Expect to receive your doctor’s lab order right in your inbox. It will also be in your patient portal if you need to find it later. We’ll also include instructions regarding fasting and other requirements for your test. Your patient portal will be auto-created hassle-free during checkout. If this is your first time ordering, you'll be prompted to create a password for instant login access to your patient portal. It's a quick way to conveniently access your orders and results whenever you want. When you’re ready, visit one of our 4,000 locations. Just bring your ID – no printing or faxing of your lab order is needed, as your order and details will already be in the lab system. Note that most lab locations don’t accept walk-ins, so it’s best to book an appointment in advance. Don’t worry – we’ll provide detailed instructions along the way. You’ll get your results via email & SMS and dive into understanding your body better. Yup, that easy! If you have any questions, please text us at 754-799-7833 or email support@privatemdlabs.com and we'll gladly help you.

How do I know which test to get?

In the test options, find the test you want. If you’re not sure which test to get, we can lend a hand in finding the right option. Just text or call us at 754-799-7833, email us at support@privatemdlabs.com, and we'll gladly help you. We've got your back and reply quickly.

When will my lab results be available?

Most test results will be available within 1–3 business days. Once they're ready, we'll send an email and text message to let you know. After your blood draw, just hang tight and don't worry – we'll keep you updated and in the loop! If you have any further questions, please text us at 754-799-7833 or email support@privatemdlabs.com, and we'll gladly help you.

Is it possible to make changes to my lab order if I made a mistake with the name, date of birth, or any other details?

Absolutely! We totally understand that errors can happen. No worries, we're here to help you. Just reach out to us via text at 754-799-7833 or shoot us an email at support@privatemdlabs.com. Remember to include your order number and let us know the correct information you’d like to update. Our awesome team will jump right in and make sure everything is sorted out and accurate for you. There are no changes necessary if your address is wrong on the requisition though. We don’t mail anything out. Our lab requires an address to be listed to generate an order.

Do you accept health insurance?

Only HSA & FSA is accepted. Our services are strictly self-pay and cannot be submitted to your health insurance provider except for Health Savings Accounts or Flexible Savings Accounts. This policy applies to all insurance companies, including federal health insurance programs like Medicare. If you have any questions, please text us at 754-799-7833 or email support@privatemdlabs.com.

Can I cancel my order?

Yes. We get it – sometimes your needs change. As long as your samples haven’t been collected yet, we’re happy to help you cancel your order. If you have any further questions, please text us at 754-799-7833 or email support@privatemdlabs.com. You can read more about our cancellation policy here.

How can I find a lab location near me?

During the ordering process, you’ll be able to select a specific lab near you, with no strings attached! You can switch it up later easily and visit any of our authorized locations as long as it’s the same lab company you selected your test for (Quest Diagnostics or Labcorp). Before you proceed with your order, feel free to browse through all our lab locations here. This will give you the peace of mind of knowing that there's a lab nearby your home, office or your favorite gym. If you have any questions, please text us at 754-799-7833 or email support@privatemdlabs.com and we'll gladly help you.

Enhanced Liver Fibrosis (ELF) Score - NASH Scarring Risk

Getting your blood test with us is easy, private & backed by the power of science.

Long story short:

In the test options, use the filters or search box to narrow your choices and find the test you want.
If you need a hand navigating through options, text our super friendly support team at 754-799-7833, and we'll provide tailored suggestions to help you find the ideal test.
Once your order is placed, we’ll create your doctor’s lab order remotely, without any need for you to make a trip to a doctor in person or to talk to the doctor. Expect to receive your doctor’s lab order right in your inbox. It will also be in your patient portal if you need to find it later. We’ll also include instructions regarding fasting and other requirements for your test. Your patient portal will be auto-created hassle-free during checkout.
If this is your first time ordering, you'll be prompted to create a password for instant login access to your patient portal. It's a quick way to conveniently access your orders and results whenever you want.
When you’re ready, visit one of our 4,000 locations. Just bring your ID – no printing or faxing of your lab order is needed, as your order and details will already be in the lab system.
Note that most lab locations don’t accept walk-ins, so it’s best to book an appointment in advance. Don’t worry – we’ll provide detailed instructions along the way.
You’ll get your results via email & SMS and dive into understanding your body better. Yup, that easy!

754-799-7833

[email protected]

Enhanced Liver Fibrosis (ELF) Score Blood Test