Liver panel
The complex includes
Albumin (ALB)
Protein total
Bilirubin total
γ-glutamyl transferase (GGT)
Aspartate Aminotransferase (AST)
Lactate dehydrogenase (LDH)
Alanine Aminotransferase (ALT)
Bilirubin direct
Alkaline Phosphatase (ALP)
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Teleconsultation with a doctor
Two doctors teleconsultations for tests selection and the interpretation of their results

Nelya Muzychuk
General practitioners, therapist
About the Test
Liver function tests are blood tests used to help diagnose and monitor liver disease or damage. The tests measure the levels of certain enzymes and proteins in your blood.
As a panel test, the liver panel involves multiple measurements. Some of these tests measure how well the liver is performing its normal functions of producing protein and clearing bilirubin, a blood waste product. Other liver function tests measure enzymes that liver cells release in response to damage or disease.
In most cases, a liver panel includes the following measurements:
- Albumin, a protein made in the liver
- Total protein. This test measures the total amount of protein in the blood.
- Your body needs these proteins to fight infections and to perform other functions. Lower-than-normal levels of albumin and total protein may indicate liver damage or disease.
- Alanine transaminase (ALT). ALT is an enzyme found primarily in the liver. When the liver is damaged, ALT is released into the bloodstream and levels increase.
- Aspartate aminotransferase (AST): AST is found in the liver as well as many muscles and organs. An increase in AST levels may indicate liver damage, disease or muscle damage.
- Alkaline phosphatase (ALP): ALP is an enzyme found in the liver, bones, and other tissues in the body. Higher-than-normal levels of ALP may indicate liver damage or disease, such as a blocked bile duct, or certain bone diseases.
- Bilirubin is a yellow-colored waste product that is the result of normal breakdown of red blood cells. The liver works to remove bilirubin from the body. Bilirubin passes through the liver and is excreted in stool. Elevated levels of bilirubin (jaundice) might indicate liver damage or disease or certain types of anemia.
- Gamma-glutamyl transferase (GGT): GGT is an enzyme found in the liver and other organs. Higher-than-normal levels may indicate liver or bile duct damage.
- Lactate dehydrogenase (LD), an enzyme found in most of the body's cells. Elevated levels may indicate liver damage but can be elevated in many other disorders.
Purpose of the test
Liver function tests are most often used to:
- Help diagnose liver diseases, such as hepatitis
- Monitor treatment of liver disease. These tests can show how well the treatment is working.
- Check how badly a liver has been damaged or scarred by disease, such as cirrhosis
- Monitor side effects of certain medicines.
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