Elevated enzymes in the liver

Liver enzymes are known as biologically active proteins that help accelerate chemical processes within the organism. They are important for the purification, filtration and excretion processes that are happening within the major liver cells. Find out what elevated enzymes in the liver mean.

Blood tests for the liver

Elevated enzymes in the liver they may be indicator of impaired liver function, whether it is cell damage to the liver or possibly inflammation, since inflammation of the cells can lead to the release of the enzyme into the blood.


That enzyme values ​​have increased can be detected by a blood test. Usually, amounts of liver enzymes are temporarily elevated and in many cases do not indicate that there is a chronic liver problem.

The most common enzymes that can be found in the blood are Alanine transaminase (ALT) and Aspartate transaminases (AST).

The reference ALT values ​​for men and women are 10 - 48 U / L.


The AST reference values ​​for women and men are 8 - 38 U / L

The normal GGT level for men is 11 - 55 U / L and for women 9 - 35 U / L.

Bilirubin should be 3 - 30 micromoles / L.


The reference values ​​for alkaline phosphatase are age dependent and differ in men (60 - 142 U / L) and women (50 - 153 U / L).

Liver enzymes

There are various diseases and conditions that can lead to elevated liver enzymes. To find out the true state of affairs, your doctor will determine the cause of the elevated values ​​by reviewing the list of medicines you are currently taking and checking the symptoms you have.

There are several reasons for elevated liver enzymes, so it states:

  • obesity
  • alcohol consumption
  • painkillers like acetaminophen
  • hepatitis C
  • a statin drug for controlling cholesterol
  • hepatitis
  • heart failure
  • liver cancer
  • cirrhosis
  • Wilson's disease
  • alcoholic hepatitis
  • heart attack
  • mononucleosis
  • pancreatic inflammation
  • celiac Disease
  • autoimmune hepatitis
  • toxic hepatitis

Treatment of elevated liver enzymes

Treatment will depend on the cause what caused the disorder, the age and overall health of the individual. As the cause of the disorder can be the result of several factors, therapy will depend on each case.

A problem with values ​​is usually detected on a regular blood test, so it is important that anyone who is diagnosed with liver disease or has the prerequisites to get it goes to regular checks. Thus, each problem will be detected at an earlier stage and will be much easier and faster to cure.

The doctor will, if necessary, request additional tests to determine the true cause of the abnormal values.

All those with acute or chronic liver disease should watch their diet. It is good to know that there is no one-size-fits-all menu, but the diet adapts to the severity of the disease, the diagnosis and the condition of the patient.

The diet should be rich in vitamins, proteins and carbohydrates. Patients diagnosed with alcoholic liver disease are advised to first evaluate their nutritional status and adjust their diet to each individual patient.

Anyone who has had fluid accumulation in the abdominal cavity in the middle of liver damage should regularly take diuretics and limit salt intake. Avoiding certain drugs as well as alcohol is necessary in all cases of liver disease.

When it comes to physical activity, it depends on the case and on how far the disease has progressed and if there are complications. Sleep is advised in viral hepatitis and when the liver has weakened or failed.

Author: S.Š.,

Liver Health : What Causes Elevated Liver Enzymes? (January 2021)