GGT

Isolated raised GGT

  • Consider
    • Alcohol consumption
      • If above limits (>21 units/14 units), treat this first
    • NAFLD
  • Repeat GGT after 1 month
    • If persistently elevated
      • Review medications
      • USS abdo/liver
      • Bloods: FBC, film, reticulocytes, haptoglobin, LFTs, HbA1c, TFTs
      • Assess CV risk
      • BMI, smoking, cholesterol, diabetes, hypertension, QRISK
    • If persistent after 6 months
      • Refer to hepatology