Does liver damage and disease always involve high or abnormal liver enzymes?

No. You can have chronic hepatitis B or C with normal liver enzymes. You can also have other chronic liver conditions, such as cirrhosis of the liver, with normal liver enzymes.

Related Questions

After I get off accutane and my liver enzymes got back to normal (hopefully), will I have to worry about liver damage when I'm older?

Time will tell. At this stage only time will tel. Make sure you are followed by a physician and that your current enzyme levels go back to normal. After that then check them periodically with your physician. Hope this helps. Read more...