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Hello, My GGT=241 And ALK Phos Tot =200, Macrohepatic Isoenzyme=

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Posted on Tue, 18 Dec 2018
Question: Hello, my GGT=241 and ALK phos tot =200, Macrohepatic Isoenzyme= 27, Alk Ph bone 22, Alk ph Liver 51.
What does it mean and what next step should be taken.

Thanks.
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Answered by Dr. Dr.Arnab (19 minutes later)
Brief Answer:
further evaluation needed...

Detailed Answer:
Hello and Welcome to 'Ask A Doctor' service...
I've gone through your query in details...
I can understand your concerns...

Well, first of all, please note that all these readings are part of the Liver function test, where there's also Bilirubin and liver enzymes (ALT and AST), if they aren't done yet, then this reading is inconclusive to notify anything as of now...

The GGT and Alkaline phosphatase levels are elevated in your case which can be seen in a number of medical conditions, long-term alcohol intake, medication-induced to even ageing process...

So, a thorough set of investigations should be done at first to look into it in details, namely Hemogram, ESR, Complete LFT, U&E, FBS, PPBS, HbA1C, Amylase, Lipase, USG whole abdomen with Fibroscan and a Chest X-ray...

The next step of management will be depending on these findings along with, of course, clinical findings, which will pinpoint whether these readings are of any concerns or not...

Please discuss this with your doctor and proceed accordingly...

Let me know if I can assist you further...

Take Care
Kind Regards
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Above answer was peer-reviewed by : Dr. Arnab Banerjee
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Answered by
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Dr. Dr.Arnab

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Practicing since :2012

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Hello, My GGT=241 And ALK Phos Tot =200, Macrohepatic Isoenzyme=

Brief Answer: further evaluation needed... Detailed Answer: Hello and Welcome to 'Ask A Doctor' service... I've gone through your query in details... I can understand your concerns... Well, first of all, please note that all these readings are part of the Liver function test, where there's also Bilirubin and liver enzymes (ALT and AST), if they aren't done yet, then this reading is inconclusive to notify anything as of now... The GGT and Alkaline phosphatase levels are elevated in your case which can be seen in a number of medical conditions, long-term alcohol intake, medication-induced to even ageing process... So, a thorough set of investigations should be done at first to look into it in details, namely Hemogram, ESR, Complete LFT, U&E, FBS, PPBS, HbA1C, Amylase, Lipase, USG whole abdomen with Fibroscan and a Chest X-ray... The next step of management will be depending on these findings along with, of course, clinical findings, which will pinpoint whether these readings are of any concerns or not... Please discuss this with your doctor and proceed accordingly... Let me know if I can assist you further... Take Care Kind Regards