Alcoholic Liver Disease Blood Test

What is Alcoholic Liver Disease?

Alcoholic liver disease is a spectrum of liver damage caused by chronic, excessive alcohol consumption over time. It ranges from fatty liver disease to alcoholic hepatitis and cirrhosis as liver cells are progressively damaged and replaced by scar tissue. The Gamma Glutamyl Transpeptidase (GGT) test is the most important test for detecting early alcoholic liver damage.

RECOMMENDED TEST Gamma Glutamyl Transpeptidase (GGT)
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What causes alcoholic liver disease?

Alcoholic liver disease is caused by chronic, excessive alcohol consumption that directly damages liver cells over time. When you drink alcohol, your liver breaks it down into toxic substances like acetaldehyde, which trigger inflammation and cell death. Over years of heavy drinking, this continuous damage progresses from fat accumulation in the liver (fatty liver) to inflammation and cell death (alcoholic hepatitis) and eventually to irreversible scarring (cirrhosis) where healthy liver tissue is replaced by scar tissue that cannot function properly.

What is the best test for alcoholic liver disease?

The Gamma Glutamyl Transpeptidase (GGT) test is the most important blood test for detecting alcoholic liver disease because it measures a liver enzyme that becomes elevated early when the liver is damaged by alcohol. GGT levels rise as the liver attempts to compensate for alcohol-induced damage, making it a sensitive early marker of alcohol-related liver injury before symptoms appear. This test is particularly valuable because elevated GGT levels are strongly associated with alcohol consumption, helping healthcare providers diagnose the condition and monitor your liver health over time. Additional tests like AST, ALT, and bilirubin levels may also be ordered to assess the extent of liver damage.

When should I get tested for alcoholic liver disease?

You should get tested if you drink heavily on a regular basis (more than 8 drinks per week for women or 15 drinks per week for men), have noticed yellowing of your skin or eyes, experience persistent fatigue or abdominal pain, or have been told by your doctor that you have elevated liver enzymes. Testing is also important if you have a history of alcohol abuse and want to check for liver damage, even if you feel fine, since early liver damage often has no symptoms. Early detection through blood testing allows for intervention that can prevent progression to more severe liver disease.

What are the symptoms of alcoholic liver disease?
Early alcoholic liver disease often has no symptoms, but as damage progresses, you might notice fatigue, weakness, loss of appetite, nausea, and discomfort in your upper right abdomen where your liver is located. More advanced symptoms include yellowing of the skin and eyes (jaundice), swelling in your legs and abdomen, easy bruising or bleeding, confusion or mental fog, dark urine, and pale stools. Some people also experience itchy skin, spider-like blood vessels on the skin, and redness in the palms of their hands.
Who is at risk for alcoholic liver disease?
People who consume excessive amounts of alcohol over many years are at highest risk, particularly those who drink more than 8 drinks per week for women or 15 drinks per week for men. Women are more susceptible to alcohol-related liver damage than men, even at lower levels of consumption, due to differences in how their bodies metabolize alcohol. Other risk factors include having a genetic predisposition to alcoholism, being obese or overweight, having hepatitis C infection, and poor nutritional status. Binge drinking patterns also significantly increase your risk even if your overall weekly consumption seems moderate.
What happens if alcoholic liver disease is left untreated?
If alcoholic liver disease is left untreated and you continue drinking, it progresses from fatty liver to alcoholic hepatitis and eventually to cirrhosis, where permanent scarring prevents your liver from functioning properly. Advanced cirrhosis can lead to life-threatening complications including liver failure, internal bleeding from enlarged veins in the esophagus, fluid accumulation in the abdomen (ascites), kidney failure, confusion and brain dysfunction (hepatic encephalopathy), and significantly increased risk of liver cancer. Once cirrhosis develops, the damage is irreversible, and liver transplantation may be the only treatment option.
Can alcoholic liver disease be diagnosed with a blood test?
Yes, blood tests play a crucial role in diagnosing and monitoring alcoholic liver disease, though they work best when combined with your medical history and physical examination. The GGT test is particularly sensitive for detecting alcohol-related liver damage, while other liver enzyme tests like AST, ALT, bilirubin, and albumin levels help assess the extent and severity of liver injury. Blood tests can reveal liver damage before symptoms appear, allowing for early intervention. However, imaging tests like ultrasound or FibroScan and sometimes liver biopsy may be needed to determine the exact stage of disease and rule out other causes of liver damage.
How is alcoholic liver disease treated?
The most important treatment for alcoholic liver disease is complete and permanent abstinence from alcohol, which can allow early-stage liver damage to heal and prevent further progression. Your doctor may recommend nutritional support including vitamin supplements (especially thiamine, folate, and vitamin B12), medications to reduce inflammation and manage complications, and treatment for alcohol use disorder including counseling, support groups, and medications to reduce cravings. For advanced cirrhosis, treatments focus on managing complications like fluid retention, bleeding, and infections. In severe cases where the liver has failed, liver transplantation may be the only option, though most transplant programs require documented sobriety for at least six months.
How can I prevent alcoholic liver disease?
The most effective way to prevent alcoholic liver disease is to drink alcohol in moderation or not at all, which means no more than one drink per day for women and two drinks per day for men. If you already have early liver damage, complete abstinence from alcohol is essential to prevent progression. Maintaining a healthy weight, eating a nutritious diet rich in fruits and vegetables, avoiding medications that can stress the liver, and getting vaccinated against hepatitis A and B also help protect your liver. Regular check-ups with blood tests can catch early liver damage before it becomes serious, especially if you have risk factors.
What can I do at home for alcoholic liver disease?
The single most important thing you can do at home is to stop drinking alcohol completely and permanently, as continued drinking will cause progressive liver damage regardless of other measures. Eat a balanced, nutritious diet with adequate protein to support liver regeneration, and consider supplements like milk thistle, vitamin E, and B vitamins under your doctor's guidance. Stay hydrated, avoid medications that can harm the liver (like acetaminophen in high doses), and maintain a healthy weight through gentle exercise. Join a support group like Alcoholics Anonymous to help maintain sobriety, and monitor yourself for warning signs like yellowing skin, abdominal swelling, or confusion that require immediate medical attention.
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If you have any questions, please text us at 754-799-7833 or email [email protected] and we'll gladly help you.
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GGT (Gamma Glutamyl Transpeptidase) 68 U/L
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68 U/L

What this means

Your GGT level is elevated above the optimal range, indicating some stress on your liver or bile ducts. This elevation is often seen with regular alcohol consumption, fatty liver, certain medications, or metabolic factors. While this doesn't necessarily mean serious disease, it suggests your liver would benefit from supportive lifestyle changes.

* Regular blood test results (e.g., CBC) typically start arriving the next business day after sample collection. More complex tests, such as hormone panels, may take up to 10–15 business days due to their complexity.

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* Regular blood test results (e.g., CBC) typically start arriving the next business day after sample collection. More complex tests, such as hormone panels, may take up to 10–15 business days due to their complexity.

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Gamma Glutamyl Transpeptidase (GGT)
What's included
Fast & easy, results by email & SMS
No need to visit a doctor
Private & confidential
No insurance needed
Results explained
No extra fees paid at the lab

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