Abnormal LFTs on Your Screen? A 3-Step Specialist Framework for Primary Care
- Nimzing Ladep, MBBS FRCP PhD
- Dec 18, 2025
- 2 min read
Updated: Dec 31, 2025
Struggling with abnormal LFTs? Use Dr. Nimzing Ladep's 3-step specialist framework and the LiverCheck app to interpret lab results at the point of care.
Introduction: The 'Point-of-Care' Headache
You’re in a busy clinic. You open a lab report and see it: an isolated rise in ALT, a slightly "off" Bilirubin, or a persistent GGT elevation. The patient is sitting across from you, looking for answers.
Do you refer immediately? Do you wait and retest in 3 months? Or is this the early warning sign of something that requires an urgent workup?
In the $10 billion liver health industry, generic advice is everywhere. But in clinical practice, precision is the only thing that saves lives. ---
Step 1: Pattern Recognition Over Number Crunching
The biggest mistake in managing abnormal Liver Function Tests (LFTs) is treating the numbers as isolated figures. Hepatologists look for Patterns:
Hepatocellular Pattern: Predominant elevation in ALT/AST. Think viral hepatitis or fatty liver.
Cholestatic Pattern: Predominant elevation in ALP/GGT. Think bile duct issues or drug-induced injury.
Isolated Hyperbilirubinemia: Is it Gilbert’s syndrome, or are we missing hemolysis?
The Challenge: Memorizing every diagnostic algorithm is impossible in a 10-minute consultation.
Stop Searching, Start Solving: Don't spend your lunch break digging through outdated PDFs. I built LiverCheck to act as your digital specialist. Input the values, and get an instant, evidence-based differential diagnosis.
Download LiverCheck on App Store | Get it on Google Play
Step 2: Ruling Out the "Silent Killers"
Before you label a patient with "Mild NAFLD," you must rule out the high-stakes culprits.
Alcohol & Meds: Are they on statins? Herbal supplements? (Remember my viral exposé on the detox scam).
Viral Screen: Is a Hep B or Hep C screen indicated?
The Metabolic Red Flag: If the patient has Type 2 Diabetes and abnormal LFTs, their risk of advanced fibrosis triples.
Step 3: Actionable Follow-up
A lab result is only as good as the management plan it triggers. Does this patient need an Ultrasound? A FibroScan? Or simple lifestyle modification?
For patients, the "Wait and See" approach often leads to "Google and Panic." For clinicians, it leads to referral bloat.
Why 27,000+ Users Trust Worthy Works Tools
Our app suite isn't built by a tech company; it's built by the Worthy Works Medical Team, led by Dr. Nimzing Ladep (MBBS, FRCP, PhD).
Evidence-Based: Aligned with WHO and international liver guidelines.
Point-of-Care: Designed to be used while the patient is in the room.
Trust: 4.8-star rating from clinicians worldwide.
Final Call to Action: Take the Specialist with You
The next time an abnormal LFT hits your screen, don't guess. Empower your clinical decision-making with the tool recognized by global health leaders.
For LFT Interpretation: [Download LiverCheck]
For Patient Diet Protocols: [Download Liver Nutrition]
For MASLD Self-Help: [Download LiverAlertMe]
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