• Published on: Sep 15, 2021
  • 5 minute read
  • By: Dr Rakesh Rai

Everything About Liver Function Tests- Purpose & Significance

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Everything About Liver Function Tests- Purpose & Significance

Liver function tests are medical laboratory tests that measure the number of various substances in the blood that are released into your blood by liver cells or made by your liver. These substances are often called "liver enzymes" because they are enzymes that are produced exclusively by the liver to help regulate metabolism for processing chemicals, nutrients, and drugs.

A high level of any one of these may suggest an abnormal situation involving your liver. The most common symptoms associated with a problem involving your liver include nausea, vomiting, yellowing skin color (jaundice), fever, and abdominal discomfort such as pain on gentle pressing around about halfway down on the right side of the abdomen.

A liver function test is a blood test that evaluates an individual's liver function or sees if there may be a problem in this organ. Liver functions including leukocyte count, alkaline phosphatase, ALT/AST enzymes, and bilirubin levels are measured with results interpreted by physicians who then advise treatment options to relieve pain or reduce the risk of liver disease. If the level of these agents is elevated then the physician will typically recommend further diagnostics such as antibody testing for hepatitis B and C infections, ultrasounds, and biopsies.

Liver function tests are a series of blood tests used to evaluate liver function. Tests may include the following:

  • Inclusion of serum albumin or total proteins as variables in the SMA12 test
  • Albumin fractional catabolic rate (ACR) and erythrocyte sedimentation rate (ESR) measurements, which can be used as a surrogate marker for changes in hepatocellular activity
  • Visible change is indicative that hepatocytes have been damaged or destroyed, an indicator that liver disease is present.
  • Fractional synthetic rate of albumin synthesis calculated from measurements of serum creatinine and urinary urea nitrogen providing information about hepatocyte intracellular mass status with decreased album

The most common of these are aminotransferases ALT and AST. These enzymes are released into the bloodstream in excessive amounts by the cells that line the bile ducts that carry bile from the liver - where it gets made - to where it gets used up in digestion ??i.e., all over your body, not just in your liver but also near your kidneys) when there's any sort of problem with those cells or with damage done to them because of some other hurtful event.

In the context of a medical lab test, a liver function test is anyone that has to do with the liver. Serum bilirubin, alanine aminotransferase (ALT), aspartate aminotransferase (AST), and alkaline phosphatase are common ones. A veterinarian could use ultrasound as well as biochemistry analysis. These tests show how well your liver is performing its duty to remove toxins from your body and to make bile for those toxins.  Liver function tests are conducted to assess the liver's ability to convert inactive substances in your blood to active ones.

Alanine aminotransferase (ALT/SGPT): tests what process - amino acid, carbohydrate, or fat - your liver is having trouble breaking down to store sugar for later use indigestion. This test will only show what type of enzyme the liver has difficulty processing at this time, so if this is normal but an alkaline phosphatase test comes back abnormal, this means there may be a different illness affecting the liver.

The test can measure certain chemicals that are released because of metabolism and excreted from the body in urine, such as albumin.

The most common indicators measured by blood-based liver function tests include GGT, ALP, total bilirubin / conjugated/unconjugated bilirubin, ALT and ASAT.

A group of enzymes found in healthy livers called GOT (gamma-glutamyl transpeptidase) and GPT (gamma-glutamyltransferase) can also be measured to determine damage to liver cells.

Liver Function Tests (LFTs) are a group of tests that measure the levels and function of various substances in the blood leave before digestion and within the liver. These include enzymes and proteins made by the liver; cholesterol, copper, iron, calcium, sodium, potassium; bilirubin level; albumin levels. The LFTs can be used to help diagnose many diseases such as viral hepatitis or alcoholic liver disease.

A history would normally prompt additional testing such as abdominal imaging for gallstones or metabolic abnormalities like cirrhosis caused by alcohol consumption. Kidney function should be tested because high-protein diets may cause kidney problems too. A genetic test might be warranted if there is a family history of inheritance. Liver function tests are a group of blood tests that doctors might use to evaluate the liver's ability to gather and store glycogen (sugar) and protein, produce bile, filter the blood, and produce cholesterol.

Drugs can accumulate in liver cells, leading to changes in levels of enzymes. Enzymes that are elevated may indicate an inflammatory or viral process as well as the use of certain medications such as steroids which need some time to clear from the body after discontinuation. The test isn't specific for any disease but can show if there is a liver problem even before symptoms occur, including cirrhosis and early hepatitis B and C infections. When first conducted, rapid elevations or decreases might be indications of acute injury or pre-clinically chronic injury respectively.

The liver may be the body's most important gland. It synthesizes nutrients from fat, carbohydrates, and protein into a form that can be absorbed by the blood to supply the cells, brain, and other tissues with a continuous supply of fuel. The liver also acts as a storage center for high-density energy reserves in times of food shortage or famine.

In response to viruses or bacteria which enter from our gut through their ingestion of contaminated water or insects’ excretions for example), substances called antibodies are manufactured in great numbers by specialized cells in an inflammatory reaction known as acute hepatitis. LFT helps measure the liver's endurance, by testing erythrocyte count, serum albumin level, bilirubin level and prothrombin time.

It's normal for your erythrocyte count to drop over time as you age. This is due mainly to the production of fewer red blood cells in your bone marrow. It may provide an indication of what is happening inside the liver with regard to the regeneration of new cells. An elevated or persistently high level can indicate cirrhosis or cancer. If it's persistently high, then requires radiologic imaging for diagnosis.

The liver function tests are blood tests that tell the physician how well the liver is working. The enzymes GGT, ALT, AST, and ALP are primarily tested to examine what should be healthy activities through three phases of hepatic metabolism. Since these enzymes exist primarily in the liver, they do not normally show up in any other tissue or fluid other than the bloodstream. If there is a disease that affects the cells within the liver, then inflammatory processes will ensue. This will lead to excessive production of oxygen-free radicals to facilitate cell death and release toxins into circulation which can affect all body systems including altering enzyme quantities, so they bump up against their normal reference ranges for evaluation.

The purpose of liver function tests is to diagnose and monitor a person's condition, based on levels of certain enzymes in the blood.

A high level of transaminases might be due to a variety of diseases or conditions, including hepatitis, cirrhosis, biliary obstruction from gallstones, or pancreatitis. Liver disease disrupting the production and release of albumin will also produce abnormally low-level albumin which can be detected with this test. A qualitative determination can be made if large amounts of Clotting Factor VIII are released into the bloodstream - Hepaetous Patina (HP) - leading to severe bleeding episodes independent from coagulation defects where plasma clotting normally should take place.

Liver function tests measure the level of different substances produced or used by the liver, such as albumin. The liver conditions may include fatty liver (hepatic steatosis), alcoholic hepatitis, cirrhosis, and many disorders affecting other parts of the body which ultimately damage the working capacity of your liver. Liver function tests are not meant to detect acute hepatitis or mild cases of elevated enzyme levels that commonly resolve on their own. Normal results suggest that there is no abnormality with your kidneys. Abnormal livers often show high amounts of creatinine kinase (CK) and alanine aminotransferase (ALT).

The liver is the body's only organ able to break down toxic compounds, so its function must be checked. The example you gave -- SGPT, or aspartate aminotransferase -- measures the level of a major liver enzyme. High levels could indicate damage from drugs also used for weight loss, such as acetaminophen/paracetamol (Tylenol) or metformin (Glucophage). Too-low levels of hepatocyte enzymes mean that the liver's not functioning properly and may develop complications like hepatitis and cirrhosis.

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Anemia Diet Plan: What to Eat to Improve Hemoglobin Levels Naturally

Anemia is one of the most widespread nutritional disorders in India, affecting people across age groups. According to NFHS-5 and ICMR data, more than half of Indian women and a significant proportion of men suffer from anemia. While supplements are sometimes required, a structured anemia diet plan plays a central role in preventing and managing the condition.

Anemia occurs when the body lacks sufficient healthy red blood cells or hemoglobin to carry oxygen efficiently. Nutrition is the foundation of hemoglobin production, making dietary correction essential.

 

Understanding the Nutritional Causes of Anemia

Anemia commonly results from deficiencies of:

  • iron

  • vitamin B12

  • folate

Each nutrient plays a specific role in red blood cell formation.

 

Iron: The Core Nutrient in Anemia

Iron is a key component of hemoglobin.

Iron deficiency leads to:

  • fatigue

  • weakness

  • pale skin

  • shortness of breath

ICMR identifies iron deficiency as the leading cause of anemia in India.

 

Types of Dietary Iron

Heme Iron

Found in animal foods and absorbed efficiently.

Sources include:

  • eggs

  • fish

  • chicken

  • liver

 

Non-Heme Iron

Found in plant-based foods and absorbed less efficiently.

Sources include:

  • spinach

  • lentils

  • chickpeas

  • jaggery

  • dates

Vitamin C improves non-heme iron absorption.

 

Role of Vitamin B12 in Anemia

Vitamin B12 is essential for red blood cell maturation.

Deficiency causes:

  • megaloblastic anemia

  • nerve symptoms

  • memory issues

Vegetarians are at higher risk due to limited dietary sources.

 

Role of Folate

Folate supports:

  • DNA synthesis

  • red blood cell formation

Low folate intake worsens anemia, especially during pregnancy.

 

Foods to Include in an Anemia Diet Plan

Iron-Rich Foods

  • green leafy vegetables (spinach, amaranth)

  • legumes and pulses

  • dates, raisins and figs

  • jaggery

  • red meat and eggs

 

Vitamin C-Rich Foods

  • citrus fruits

  • guava

  • tomatoes

  • bell peppers

These enhance iron absorption.

 

Vitamin B12 Sources

  • milk and dairy products

  • eggs

  • fish

  • fortified cereals

 

Folate-Rich Foods

  • green leafy vegetables

  • beans and peas

  • peanuts

  • whole grains

 

Sample Daily Anemia Diet Plan

Breakfast

  • vegetable omelette or sprouted moong

  • citrus fruit or guava

 

Mid-Morning

  • soaked raisins or dates

  • lemon water

 

Lunch

  • brown rice or roti

  • dal or chickpeas

  • green leafy vegetable sabzi

  • salad with lemon dressing

 

Evening Snack

  • roasted peanuts or chana

  • fruit rich in vitamin C

 

Dinner

  • vegetable curry with paneer or fish

  • whole wheat roti

  • lightly cooked greens

 

Bedtime

  • warm milk if tolerated

 

Foods That Reduce Iron Absorption

Certain foods interfere with iron absorption:

  • tea and coffee

  • excess calcium

  • highly processed foods

These should be avoided close to iron-rich meals.

 

Special Considerations for Women

Women require more iron due to:

  • menstruation

  • pregnancy

  • lactation

NFHS-5 highlights anemia as a major women’s health concern in India.

 

Anemia in Men and Older Adults

In men and elderly individuals, anemia may signal:

  • nutritional deficiency

  • chronic disease

  • gastrointestinal issues

Dietary correction should be combined with medical evaluation.

 

When Diet Alone Is Not Enough

Diet may not be sufficient if:

  • anemia is severe

  • absorption is impaired

  • chronic illness is present

In such cases, supplements or treatment of underlying causes is required.

 

Importance of Regular Blood Tests

Monitoring hemoglobin helps:

  • assess improvement

  • guide dietary adjustments

  • prevent recurrence

Preventive checkups are essential for high-risk groups.

 

Lifestyle Factors That Support Recovery

Along with diet:

  • adequate sleep

  • stress management

  • regular physical activity

support blood health and recovery.

 

Preventing Anemia Long-Term

Long-term prevention includes:

  • balanced meals

  • iron-rich cooking methods

  • avoiding excessive junk food

  • periodic screening

WHO and NITI Aayog emphasize nutrition education as a preventive strategy.

 

Conclusion

A well-structured anemia diet plan is the cornerstone of improving hemoglobin levels and restoring energy. By including iron-rich foods, supporting nutrients like vitamin B12 and folate, and improving absorption through smart food combinations, anemia can be effectively managed and prevented. Early dietary intervention, supported by regular health monitoring, helps avoid long-term complications and improves overall quality of life.

 

References

  • Indian Council of Medical Research (ICMR) – Anemia and Micronutrient Deficiency Reports

  • National Family Health Survey (NFHS-5) – Anemia Prevalence Data

  • World Health Organization (WHO) – Nutrition and Anemia Guidelines

  • Lancet – Micronutrient Deficiency and Public Health Research

  • NITI Aayog – Poshan Abhiyaan and Nutrition Policy Reports

  • Statista – Nutrition and Health Trends in India

See all

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