Even alcoholics without cirrhosis have elevated ggt. have noted that some patients with advanced cirrhosis don't have much elevation of AST,ALT and I suppose it could be true of ggt. I always attributed this to too many burnt out liver cells, but bear in mind,I'm referring to basically end stage liver disease. A hepatologist or gastroenterologist would be better able to answer your question,
Answered 12/31/2022
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