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Biomarkers measured on this test
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An enzyme found in your liver as well as your heart and muscles. On its own, AST is less specific, but compared with ALT it tells a story. In fatty liver disease, ALT is usually higher. When AST climbs to twice ALT or more, it often points to alcohol-related liver damage or more advanced scarring.
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The most liver-specific enzyme on this panel. ALT lives inside your liver cells and leaks into your blood when those cells are inflamed or damaged. It's usually the first marker to rise in fatty liver disease, which affects about 1 in 3 American adults, most of whom don't know it.
An enzyme on the surface of your liver and bile duct cells, and one of the most sensitive markers of alcohol's impact on your liver. GGT rises with regular drinking and usually falls within weeks of cutting back. It also flags bile flow problems and helps your liver recycle glutathione, its main antioxidant.
Your average blood sugar over the last 2 to 3 months. Your liver stores and releases sugar, and when you're insulin resistant, it converts excess sugar into fat that builds up inside liver cells. Most people with type 2 diabetes have fatty liver, and fatty liver makes blood sugar harder to control.
A protein made by your liver in response to inflammation anywhere in your body. Chronic inflammation is what pushes simple fatty liver toward MASH, a more serious form that causes liver scarring (fibrosis). Raised hs-CRP alongside high liver enzymes is a signal worth taking seriously.
The deep belly fat stored around your organs. Visceral fat drains directly to your liver, flooding it with fatty acids and inflammatory chemicals. It's one of the strongest predictors of fatty liver disease, even in people who aren't overweight.
How do I know if this test is for me?
Your liver filters your blood, processes everything you eat and drink, and manages your energy, and it rarely complains until something is wrong. This test helps you spot problems early, when simple lifestyle changes can still reverse them.
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You feel drained no matter how much you sleep, or notice bloating or a dull ache under your right ribs. Fatigue is one of the most common signs of fatty liver, and it's easy to blame on a busy life instead of your liver.
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You have prediabetes, type 2 diabetes, PCOS, or a family history of diabetes. High blood sugar and fatty liver feed each other, so checking both together gives you the full picture.
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You carry extra weight around your stomach, even if the rest of you is slim. Visceral fat is one of the biggest drivers of fatty liver disease, and this panel shows whether it's already affecting your liver.
Wine with dinner, beers after work, or big weekends. Your liver processes every drink, and GGT, AST, and ALT show how well it's coping, often long before you feel any effects.
Your health insights,
in three simple steps.
Collect your sample at home, send it to our lab and recieve results securely online in a matter of days.
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