Liver Function Test LFT: What It Is and Why It’s Important

LFT Test Means

Liver health is essential for overall well-being, and understanding how your liver functions is crucial to maintaining it. A Liver Function Test (LFT) helps assess the health of your liver by measuring the levels of proteins, liver enzymes, and bilirubin in your blood. In this blog post, we will explore what a Liver Function Test is, why it’s important, and what the results might indicate.

What is a Liver Function Test LFT?

Overview of Liver Function Test

A Liver Function Test (LFT) is a blood test that provides valuable information about the health of your liver. The test measures different enzymes, proteins, and substances produced by the liver. Commonly, an LFT includes tests for:

  • Alanine aminotransferase (ALT)
  • Aspartate aminotransferase (AST)
  • Alkaline phosphatase (ALP)
  • Gamma-glutamyl transferase (GGT)
  • Bilirubin
  • Albumin

Each of these tests helps your doctor determine how well your liver is functioning and if there’s any damage.

Why is an LFT test needed?

LFTs are typically ordered if you’re showing signs of liver disease, such as jaundice (yellowing of the skin), unexplained fatigue, abdominal pain, or dark urine. They can also be used to monitor existing liver conditions like hepatitis, fatty liver disease, or cirrhosis.

Illustration of a Liver Function Test (LFT) used to evaluate liver health and diagnose hepatitis.
Image representing a Liver Function Test (LFT) used for diagnosing hepatitis and monitoring liver health | Health Mozo

LFTs are essential because they help:

  • Identify liver infections: Detect early signs of hepatitis and other liver diseases.
  • Track disease progression: Monitor the effectiveness of treatments for conditions like viral or alcoholic hepatitis.
  • Detect serious liver damage: Look for signs of cirrhosis, a severe liver condition.
  • Monitor medication side effects: Assess potential liver toxicity from certain drugs.
  • Analyze blood markers: Evaluate levels of enzymes and proteins to pinpoint liver problems.

OR

  • Detect liver damage early
  • Monitor the progression of liver disease
  • Assess the effectiveness of treatments
  • Evaluate how certain medications impact liver function

Common Liver Function Tests

  1. Alanine Transaminase (ALT): Enzyme ALT is a marker for liver cell damage. Higher levels in the blood indicate potential liver issues because that’s an enzyme converting protein into energy.
  2. Aspartate Transaminase (AST): Similar to ALT, but can also be elevated due to muscle damage.
  3. Albumin and Total Protein: Measure the liver’s ability to produce proteins. Low levels might signal liver damage.
  4. Alkaline Phosphatase (ALP): Indicates liver and bone health. Elevated levels suggest potential liver or bone problems.
  5. Bilirubin: A byproduct of red blood cell breakdown. High levels can indicate liver problems or other conditions.
  6. Gamma-Glutamyltransferase (GGT): A marker for liver and bile duct health. Elevated levels suggest potential issues.
  7. L-Lactate Dehydrogenase (LD): Another indicator of liver damage, but can also be elevated due to other conditions.
  8. Prothrombin Time (PT): Measures blood clotting time. Increased PT can indicate liver damage, but can also be affected by blood-thinning medications.

What to Expect During a Liver Function Test

Preparation for the Test

For most people, little to no preparation is required for an LFT. However, your healthcare provider might ask you to fast for several hours before the test or avoid certain medications that could influence the results.

The Procedure

The test itself is straightforward and involves drawing a small amount of blood from a vein, typically from your arm. The sample is then sent to a lab for analysis. The results are usually available within a day or two, depending on the laboratory.

Understanding Liver Function Test Results

Normal vs. Abnormal Results

After your test, your healthcare provider will review the results with you. Normal ranges can vary depending on the lab, but in general:

  • ALT and AST: Elevated levels may indicate liver inflammation or damage.
  • ALP: Higher levels can be linked to liver disease, bone disorders, or bile duct blockages.
  • Bilirubin: Elevated bilirubin levels can cause jaundice and suggest liver or bile duct issues.
  • Albumin: Low albumin levels may indicate poor liver function or other health conditions.

LFT Normal Range (liver function tests standard range)

TestNormal RangeDescription
Alanine Aminotransferase (ALT)7 – 56 U/LEnzyme found in the liver; high levels indicate liver damage.
Aspartate Aminotransferase (AST)10 – 40 U/LEnzyme found in the liver and other tissues; elevated levels may indicate liver or muscle damage.
Alkaline Phosphatase (ALP)44 – 147 IU/LEnzyme related to bile ducts; increased levels suggest bile duct problems.
Total Bilirubin0.1 – 1.2 mg/dLWaste product from the breakdown of hemoglobin; high levels may indicate liver disease.
Direct (Conjugated) Bilirubin0 – 0.3 mg/dLIndicates how well the liver is processing bilirubin.
Albumin3.5 – 5.0 g/dLProtein made by the liver; low levels may indicate liver disease.
Total Protein6.3 – 7.9 g/dLMeasures all proteins in the blood, including albumin and globulin.
Gamma-Glutamyl Transferase (GGT)9 – 48 U/LEnzyme that helps detect bile duct issues or liver damage.
Prothrombin Time (PT)9.5 – 13.8 secondsMeasure of blood clotting ability; prolonged time may suggest liver dysfunction.
Lactate Dehydrogenase (LDH)140 – 280 U/LEnzyme released during tissue damage, including the liver.
Standard range of LFT

These ranges can vary slightly depending on the laboratory standards.

What Abnormal Results Might Mean

If your results are outside the normal range, your healthcare provider will assess the severity and recommend further testing if necessary. Abnormal results can indicate a variety of conditions, including:

  • Hepatitis (A, B, or C)
  • Fatty Liver Disease
  • Cirrhosis
  • Liver Cancer
  • Alcoholic Liver Disease

Also, read about Decoding Liver Cancer: From Symptoms to Survival Strategies

Conclusion

The Importance of Regular Liver Function Testing

A Liver Function Test (LFT) is a vital tool in assessing liver health and catching early signs of disease. Whether you’re showing symptoms or simply monitoring your overall health, it’s important to follow your doctor’s advice regarding liver function tests. Early detection and regular monitoring can help prevent further damage and allow for timely treatment.

Maintaining a healthy lifestyle by avoiding excessive alcohol, eating a balanced diet, and exercising regularly can also support liver health. If you’re concerned about your liver function or experiencing symptoms, don’t hesitate to consult your healthcare provider about getting an LFT.

FAQ’s,

What is a liver function test (LFT)?

A liver function test (LFT) is a blood test that measures enzymes, proteins, and substances produced by the liver to assess its overall health and function.

Why is a liver function test necessary?

Illustration of a Liver Function Test (LFT) used to evaluate liver health and diagnose hepatitis.

LFTs are used to detect liver diseases, monitor liver damage, assess the severity of liver conditions, and check the effectiveness of treatments.

What conditions can an abnormal liver function test indicate?

Abnormal LFT results can indicate liver diseases such as hepatitis, fatty liver, cirrhosis, bile duct obstruction, or liver cancer.

Do I need to fast before a liver function test?

Fasting may be required for certain components of the LFT, but it depends on your doctor’s instructions.

What are the common symptoms that may lead to a liver function test?

Symptoms include jaundice (yellowing of the skin or eyes), fatigue, dark urine, abdominal pain, and unexplained weight loss, which can signal liver problems.

Leave a Comment