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Dr. Andrew Rynne
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How can a metabolic liver disease be diagnosed?

What is the MLD connected with the liver and how do I read my blood work to know if mine has gotten worse. In April I was told my number was 18 I would like to know what it is now. Because I have been doing all the steps to get ready for a liver transplant. Mary
Tue, 24 Jul 2018
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General & Family Physician 's  Response
Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice.

I think you are talking about "MELD" score *(model for end stage liver disease). It is calculated based on values of bilirubin, INR, and creatinine. You can calculate it by using the formula "MELD = 3.78×ln[serum bilirubin (mg/dL)] + 11.2×ln[INR] + 9.57×ln[serum creatinine (mg/dL)] + 6.43
The value of 18 indicates good prognosis.

Hope I have answered your query. Let me know if I can assist you further.
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