What's this test for?

This test is ideal if you're at risk of fatty liver disease and want to know if it has progressed to liver scarring, called fibrosis. It's often used if you've been told you have a fatty liver, have risk factors like obesity, diabetes, or high cholesterol, or your prior liver blood work came back abnormal. This panel helps catch liver damage early, before it becomes serious, so you can take action while there's still time to reverse it.

What's included in this test?

This panel calculates the FIB-4 index using routine blood markers along with your age, which estimates how much scarring may be present in your liver. If that score comes back elevated, the lab automatically adds the Enhanced Liver Fibrosis (ELF) score, a more advanced marker set that gives a clearer read on fibrosis severity. Together, these two steps offer a stepwise, cost-effective way to catch liver damage without needing an invasive biopsy.

What happens after I get my results?

Your results will show up in your account with each value explained alongside its normal range, so you know exactly where you stand. If your FIB-4 score comes back elevated, the lab automatically runs the follow-up ELF score on the same sample, giving you a more complete picture without a second visit. Depending on what your results show, next steps might include lifestyle changes like reducing alcohol, losing weight, or adjusting your diet, plus a retest in 6-12 months to track progress. You can download the full lab report anytime and use the trends feature to watch your liver health numbers change over time.

How can I naturally support liver health?

Cutting back on alcohol, sugar, and processed foods can significantly reduce stress on your liver. Regular exercise and gradual weight loss (even 5-10% of body weight) have been shown to improve fatty liver and reduce scarring risk. Foods like leafy greens, coffee (in moderation), and omega-3 rich fish may also support liver function. If your numbers stay high despite these changes, it's a sign to look deeper into what's driving the damage.

When will I get my results?

Results are typically ready within about 7 days of your blood draw. If your FIB-4 score triggers the reflex ELF test, that additional processing is included in the same turnaround window, so you won't need a separate appointment. You'll get a notification as soon as your full results, including any reflex testing, are available in your account.

Who should consider this test?

This test is a good fit if you have risk factors for fatty liver disease, such as obesity, type 2 diabetes, high triglycerides, or a history of heavy alcohol use. It's also useful if you've had abnormal liver enzyme results in the past and want to understand what's causing them. People with a family history of liver disease may also benefit from establishing a baseline.

What symptoms indicate I may need this test?

Fatty liver disease often has no symptoms in its early stages, which is why screening matters even if you feel fine. Some people notice mild fatigue, discomfort in the upper right side of the belly, or unexplained weight changes. If you've been told your liver enzymes are elevated on routine blood work, that's another strong signal to check further.

What is liver fibrosis and why does it matter?

Liver fibrosis is scarring that builds up in the liver over time, usually from ongoing inflammation or fat buildup. In its early stages, fibrosis can often be slowed or even reversed with lifestyle changes, but if it progresses too far, it can lead to serious, permanent liver damage called cirrhosis. Catching it early with a simple blood-based score gives you the best chance to protect your liver long-term.

What does a high FIB-4 score mean?

A high FIB-4 score suggests there may be a meaningful amount of scarring in your liver and warrants a closer look, which is why the ELF score is automatically added when this happens. It doesn't mean the damage is permanent, especially if caught early. This is a good time to focus on reducing alcohol, improving your diet, and losing weight if needed, and to retest to track your progress.

How often should I retest?

If your first results are normal, retesting once a year is usually reasonable if your risk factors stay the same. If your FIB-4 or ELF score comes back elevated, retesting every 6-12 months after making lifestyle changes can help you see whether your liver health is improving. Tracking your numbers over time is one of the best ways to know if your efforts are working.

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.

FIB-4 Liver Fibrosis Test - Fatty Liver Screening

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]

FIB-4 Liver Fibrosis Blood Test with ELF Reflex

FIB-4 Index Panel with Reflex to Enhanced Liver Fibrosis (ELF) Score

Prescription & all lab fees included

Doctor's guidance included

Fast & convenient

Prescription & all lab fees included

Doctor's guidance included

Fast & convenient

What's this test for?

What's included in this test?

What happens after I get my results?

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FIB-4 Liver Fibrosis Blood Test with ELF Reflex

Prescription & all lab fees included

Doctor's guidance included

Fast & convenient

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