Quick Guide: Gamma-glutamyl transpeptidase (GGT or GGTP) Blood Test
What it is: A GGT (gamma-glutamyl transferase) test measures the level of GGT, an enzyme found mainly in the liver, in the blood.
Why it's ordered: Ordered to help diagnose liver or bile duct disease, determine whether an elevated ALP is coming from the liver or bone, or screen for alcohol-related liver effects.
What it detects: GGT is a sensitive early marker of liver cell or bile duct injury, though it lacks specificity — it can also rise with alcohol use, certain medications, and non-liver conditions like metabolic syndrome.
Collection & prep: A standard blood draw from a vein in the arm, usually alongside other liver function tests. No special preparation is typically required.
Results:
High – suggests liver or bile duct injury; can also reflect alcohol use or certain medications
Normal – roughly 5–40 U/L, varying by lab and sex
Possible complications of liver injury: An elevated GGT alone doesn't diagnose a specific condition; it's interpreted alongside ALP, ALT, AST, and clinical history to help pinpoint whether the cause is hepatobiliary disease, alcohol use, or something else.
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