What to Look for in an At-Home Liver Test
Before comparing specific tests for liver health, it helps to know which markers matter most for liver function testing.
The core liver enzymes include ALT (alanine aminotransferase), AST (aspartate aminotransferase), and GGT (gamma-glutamyl transferase). ALT is the most liver-specific of the three. AST can also rise from muscle stress. GGT is particularly sensitive to alcohol use and bile duct issues.
The AST:ALT ratio provides additional context. When AST is higher than ALT (ratio above 2), it often suggests alcohol-related liver stress rather than metabolic causes.
Some tests also include metabolic markers like HbA1c (average blood sugar) and inflammatory markers like hsCRP. These help paint a fuller picture, since fatty liver disease often develops alongside insulin resistance and chronic inflammation.
Test your liver health from home
Measure ALT, AST, GGT, your AST:ALT ratio, HbA1c, hsCRP, and visceral fat with one simple finger-prick test.
Finger-prick · results in days · no subscription required · use code LIVER15 for $15 off
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Choose Health vs. SiPhox vs. Verisana: Which At-Home Liver Test Is Best?
How the three at-home liver tests compare on what they measure, how you collect the sample, price, and the results experience. Verified against provider websites in July 2026, details change often.
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| Feature | Choose Health | SiPhox Health | Verisana Basic | Verisana Comprehensive |
|---|---|---|---|---|
| Best for | Liver-focused monitoring | Broader metabolic tracking | Basic liver screening | Comprehensive liver screening |
| Price | $90 | $125+ membership | $119 | $129 |
| Collection method | Finger-prick | Upper-arm collection device | Finger-prick | Finger-prick |
| Core liver enzymes | ALT, AST, GGT | ALT, AST | ALT, AST | ALT, AST, GGT |
| Includes GGT | Yes | No | No | Yes |
| Includes AST:ALT ratio | Yes | Yes | No | Yes |
| Includes metabolic markers | Yes (HbA1c + hsCRP) | Yes | No | Yes |
| Unique insights | Visceral fat assessment | Wearable integrations | None | Total bilirubin |
| Total liver-relevant biomarkers | 7 | 6+ | 3 | 7 |
| Subscription required | No | Yes | No | No |
| Results turnaround | 2-4 days after the lab receives your sample | 5-7 days | Not specified | Not specified |
| Results experience | Physician-reviewed dashboard with personalized AI insights | Dashboard with AI assistant | Lab report | Lab report |
Test your liver health from home
Measure ALT, AST, GGT, your AST:ALT ratio, HbA1c, hsCRP, and visceral fat with one simple finger-prick test.
Finger-prick · results in days · no subscription required · use code LIVER15 for $15 off
Choose Health Liver Function Test
Markers tested (7 total): ALT, AST, AST:ALT ratio, GGT, average blood sugar (HbA1c), inflammation (hsCRP), and a visceral fat assessment.
What it covers well: Choose Health includes all three core liver enzymes (ALT, AST, GGT) plus the AST:ALT ratio calculation. The panel also adds metabolic context through HbA1c and inflammation assessment through hsCRP. This combination helps identify whether elevated enzymes relate to metabolic dysfunction, which often precedes obvious blood sugar changes.
SiPhox Health Heart & Metabolic Program
Markers tested (20 total, liver-relevant subset): ALT, AST, ALP, direct bilirubin, total bilirubin, AST:ALT ratio, plus additional metabolic markers (lipids, glucose, insulin, and others).
GGT is not included in the standard Heart & Metabolic panel. It may be available as a separate add-on.
What it covers well: SiPhox offers a broader metabolic panel with 20 biomarkers, making it useful for overall cardiovascular and metabolic health monitoring. The membership model works well for people who want to track multiple health areas over time. However, without GGT in the standard panel, it may miss an important marker for alcohol-related liver stress and oxidative damage. SiPhox also connects with wearable devices such as the Oura Ring, Whoop, and Apple Watch, pairing with its own app.
Verisana Liver Tests
What it covers well: The comprehensive option includes the full enzyme panel plus metabolic and inflammatory markers. The basic option works for simple screening but lacks GGT, which can be an early indicator of liver stress before ALT rises and is the biomarker most clearly impacted by alcohol.
Side-by-Side Marker Comparison
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| Feature | Choose Health | SiPhox (Heart & Metabolic) | Verisana Basic | Verisana Comprehensive |
|---|---|---|---|---|
| ALT | Yes | Yes | Yes | Yes |
| AST | Yes | Yes | Yes | Yes |
| GGT | Yes | No | No | Yes |
| AST:ALT ratio | Yes | No | No | Yes |
| HbA1c | Yes | Yes | No | Yes |
| hsCRP | Yes | Yes | No | Yes |
| Total bilirubin | No | Yes | Yes | Yes |
| Direct bilirubin | No | Yes | No | No |
| Visceral fat | Yes | No | No | No |
| Price | $90 | $125+ (membership) | $119 | $129 |
| Turnaround | Under 1 week | 8-12 days | 1-3 weeks | 1-3 weeks |
| Collection | Finger-prick | Upper-arm draw | Finger-prick | Finger-prick |
| Personalized guidance | AI recommendations | AI assistant + integrations | Lab report only | Lab report only |
Methodology: Competitor pricing, panel contents, and geographic availability change frequently and vary by state. Verified against provider websites in July 2026. Confirm current details before publishing.
Which Test Makes Sense for Different Situations
For liver-focused monitoring
Choose Health or Verisana Comprehensive both include the full enzyme panel (ALT, AST, GGT) plus metabolic context. Choose Health offers faster results and personalized recommendations at a significantly lower price point, and adds a visceral fat assessment, while Verisana Comprehensive adds total bilirubin.
For broader metabolic health
SiPhox Health covers markers across cardiovascular and metabolic categories and syncs with wearable health devices like the Apple Watch. If you want comprehensive health tracking beyond liver function, its membership model provides ongoing value, and it is the only one of the three that offers direct bilirubin. Just note that liver-specific coverage is limited without GGT. Choose Health and Verisana both offer one-time tests with no subscription, along with a range of other at-home panels.
For basic screening
Verisana's basic test covers ALT, AST, and bilirubin at $119. That works for a simple check, but it misses GGT, which often rises before ALT in cases of alcohol-related stress or early metabolic dysfunction, and it costs more than Choose Health's seven-marker Liver Function Test.
Why GGT Matters
GGT deserves special mention because it is often the earliest liver marker to change. Research suggests GGT can rise years before blood sugar markers shift in people developing metabolic dysfunction. It is also highly sensitive to recent alcohol consumption, making it useful for tracking how your liver responds to changes in drinking habits. You can read more in our guide to the GGT blood test and how to monitor it at home.
Bottom line: tests that exclude GGT may miss early warning signs that ALT and AST have not picked up yet.
What Happens After Testing
Getting results is only the first step. The real value comes from understanding what your numbers mean and tracking them over time.
Most early-stage liver issues show no symptoms, which is why regular testing matters even when you feel fine. A single test establishes your baseline. Repeat testing every few months shows whether lifestyle changes to support your liver health are working.
If your results show elevated enzymes, the typical recommendation is to retest in 4 to 12 weeks after making adjustments. For alcohol-related elevations, 2 to 4 weeks often shows measurable improvement.
Frequently Asked Questions About At-Home Liver Tests
Which at-home liver test gives the best value?
Choose Health offers strong value for liver-focused testing because it includes ALT, AST, GGT, AST:ALT ratio, HbA1c, hsCRP, and visceral fat assessment for $90, or $75 with code LIVER15. It also includes an online dashboard with personalized guidance.
Do I need GGT in a liver test?
GGT is an important liver enzyme because it can rise with alcohol use, bile duct stress, oxidative stress, and metabolic dysfunction. A liver test that includes ALT, AST, and GGT gives a more complete picture than ALT and AST alone.
Is Choose Health cheaper than SiPhox or Verisana?
Yes. Choose Health’s Liver Function Test is $90, or $75 with code LIVER15. SiPhox starts at $125+ through a membership model, while Verisana’s liver tests are listed at $119 to $129.
Does Choose Health require a subscription?
No. Choose Health offers one-time liver testing without requiring a subscription. This makes it easier to test your liver health without committing to a recurring membership.
What biomarkers are included in the Choose Health Liver Function Test?
The Choose Health Liver Function Test includes ALT, AST, GGT, AST:ALT ratio, HbA1c, hsCRP, and visceral fat assessment. These markers help assess liver enzymes, inflammation, metabolic health, and liver-related risk factors.
Can I test liver enzymes from home?
Yes. At-home liver tests use a sample collection method such as a finger prick or upper arm draw. Choose Health uses finger-prick collection so you can collect your sample from home and receive results through an online dashboard.
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