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Liver Function Tests Overview

Know about liver function tests, why are they done, interpretation of results, common causes of abnormal liver function tests and how to keep your liver healthy.

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Written by Dr. Siri Nallapu

Reviewed by Dr. Vasanthasree Nair MBBS

Last updated on 25th Aug, 2025

Liver Function

Introduction 

Your liver is one of the hardest-working organs in your body, performing essential functions like detoxification, protein production, and digestion support. To ensure your liver is functioning well, doctors often recommend Liver Function Tests (LFTs).

If you’ve been asked to get an LFT or are curious about what these tests mean, this guide will help you understand everything in simple terms.

What Are Liver Function Tests (LFTs)?

Liver Function Tests are a group of blood tests that check how well your liver is working. These tests measure different enzymes, proteins, and substances in your blood to detect liver damage, inflammation, or disease.

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Common Tests Included in LFTs

  1.  Alanine Aminotransferase (ALT) – High levels may indicate liver damage.
  2.  Aspartate Aminotransferase (AST) – Elevated levels can suggest liver or muscle damage.
  3.  Alkaline Phosphatase (ALP) – High levels may point to bile duct problems or bone disease.
  4.  Albumin – Low levels can indicate poor liver function.
  5.  Bilirubin – High levels may suggest jaundice or bile duct blockage.
  6.  Total Protein – Measures the amount of protein in your blood, which helps assess liver function.

Why Are LFTs Done?

Your doctor may recommend LFTs if you:

  • Have symptoms of liver disease (jaundice, fatigue, nausea, swelling in legs).
  • Are on medications that may affect the liver.
  • Have a history of alcohol abuse or viral hepatitis.
  • They are being monitored for an existing liver condition.
  • Need a routine health check-up.

Understanding Your LFT Results

Normal ranges for LFTs can vary slightly between labs, but here’s a general idea:

Test

Normal Range

What High Levels Mean

ALT 

7-56 U/L

Liver damage (hepatitis, fatty liver)

AST

10-40 U/L

Liver or muscle damage

ALP

44-147 U/

Bile duct blockage, bone disease

Albumin

3.5-5.0 g/dL

Poor liver function if low

Bilirubin

0.1-1.2 mg/dL

Jaundice, bile duct issues

Note: Abnormal results don’t always mean liver disease. Your doctor will interpret them along with your symptoms and medical history.

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Common Causes of Abnormal LFTs

  1.  Fatty Liver Disease – Due to obesity, diabetes, or high cholesterol.
  2.  Hepatitis (Viral or Autoimmune) – Inflammation of the liver.
  3.  Alcohol-Related Liver Damage – Excessive drinking harms liver cells.
  4.  Medications (e.g., Paracetamol Overuse) – Some drugs can cause liver toxicity.
  5.  Gallstones or Bile Duct Blockage – Leads to increased bilirubin.

How to Keep Your Liver Healthy

If your LFT results are abnormal, or if you want to prevent liver problems, here are some lifestyle tips:

1. Eat a Liver-Friendly Diet

  • Increase: Fruits, vegetables, whole grains, lean proteins.
  • Reduce: Fried foods, processed sugars, excessive salt.
  • Hydrate well – Drink plenty of water to help detoxify.

2. Limit Alcohol

  • Excessive alcohol is a major cause of liver damage. Stick to moderate drinking or avoid it altogether if you have liver 
    concerns.

3. Exercise Regularly

  • Physical activity helps reduce fatty liver and maintain a healthy weight.

4. Avoid Unnecessary Medications

  • Some painkillers (like paracetamol) can harm the liver if taken in excess. Always follow dosage instructions.

5. Get Vaccinated (Hepatitis A & B)

  • Vaccines can protect you from viral hepatitis infections.

6. Regular Check-ups

  • If you have risk factors (diabetes, obesity, alcohol use), routine LFTs can help catch problems early.

When to See a Doctor?

Consult a doctor if you experience:

  • Yellowing of skin/eyes (jaundice).
  • Persistent fatigue or weakness.
  • Swelling in the abdomen or legs.
  • Dark urine or pale stools.

If your LFT results are abnormal, your doctor may recommend further tests (ultrasound, FibroScan, or biopsy) to determine the cause.

Final Thoughts

Your liver plays a crucial role in keeping you healthy. Regular check-ups, a balanced diet, and a healthy lifestyle can go a long way in preventing liver diseases. If you have any concerns, don’t hesitate to consult a doctor.

Consult General Practitioner for Personalised Advice

Dr. Riti Srivastava, General Practitioner

Dr. Riti Srivastava

General Practitioner

12 Years • MD (Physician)

Gautam Buddha Nagar

Shri Krishna Clinic, Gautam Buddha Nagar

750

600


 

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Dr. Riti Srivastava, General Practitioner

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Shri Krishna Clinic, Gautam Buddha Nagar

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Consult General Practitioner for Personalised Advice

Dr Suseela, General Physician

Dr Suseela

General Physician

5 Years • MBBS

Bengaluru

Apollo Medical Center, Marathahalli, Bengaluru

500

50 Cashback

Dr. Avinash Pasuparthy, General Practitioner

Dr. Avinash Pasuparthy

General Practitioner

5 Years • MBBS

Visakhapatnam

Apollo Clinic Vizag, Visakhapatnam

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No Booking Fees

Dr. Riti Srivastava, General Practitioner

Dr. Riti Srivastava

General Practitioner

12 Years • MD (Physician)

Gautam Buddha Nagar

Shri Krishna Clinic, Gautam Buddha Nagar

750

600

Dr. Pankaj Tripathi, General Practitioner

Dr. Pankaj Tripathi

General Practitioner

20 Years • MBBS, MD Pathology

Lucknow

Best Diabetologist Clinic, Lucknow

625

1000

Dr. Thameena, General Practitioner

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General Practitioner

5 Years • MBBS

Tiruchirappalli

Bismi Clinic, Tiruchirappalli

125

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