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Non-alcoholic fatty liver disease (NAFLD) is a condition where excess fat accumulates in the liver of people who drink little to no alcohol. It is caused by metabolic dysfunction including insulin resistance, elevated oxidized LDL cholesterol, and increased trimethylamine N-oxide production. The Gamma Glutamyl Transpeptidase (GGT) test is the most important test for diagnosing NAFLD because it detects liver cell damage from fat accumulation.
Non-alcoholic fatty liver disease is caused by metabolic dysfunction, insulin resistance, and excess fat accumulation in liver cells. The primary drivers include elevated blood sugar levels, high triglycerides, oxidized LDL cholesterol, and obesity. Unlike alcoholic liver disease, NAFLD develops in people who drink little to no alcohol, and is strongly linked to metabolic syndrome, type 2 diabetes, and poor diet high in refined carbohydrates and saturated fats.
The Gamma Glutamyl Transpeptidase (GGT) test is the most important blood test for non-alcoholic fatty liver disease because it detects liver cell damage caused by fat accumulation. When liver cells are injured, they release GGT into the bloodstream, causing elevated levels that indicate the extent of liver damage. The OxLDL test is also essential because it measures oxidized LDL cholesterol, a key contributor to fat buildup in the liver. Additionally, the TMAO test provides valuable insight into metabolic pathways that promote liver fat accumulation and disease progression.
You should get tested if you have metabolic syndrome, type 2 diabetes, or are overweight or obese, as these significantly increase your risk. Get tested if you experience unexplained fatigue, discomfort in the upper right abdomen, or have elevated liver enzymes found during routine blood work. You should also consider testing if you have high cholesterol, high triglycerides, or a family history of liver disease, even if you have no symptoms, since NAFLD often develops silently.
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.
Recommended actions
Reduce or eliminate alcohol consumption and stay well-hydrated
Focus on a liver-friendly diet with vegetables, lean proteins, and healthy fats while avoiding processed foods
Incorporate regular exercise and work toward maintaining a healthy weight
Retest in 3-6 months to monitor improvement after lifestyle modifications
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