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Bilirubin
Bilirubin is a yellow pigment formed from the breakdown of red blood cells. It is processed and excreted by the liver, and elevated levels may indicate liver dysfunction, bile duct obstruction, or haemolysis. High bilirubin can lead to jaundice (yellowing of the skin or eyes) and may suggest impaired liver clearance.

Aspartate Aminotransferase (AST)
Aspartate Aminotransferase is an enzyme found in both the liver and muscles. While it is not liver-specific, raised AST often occurs alongside ALT and can suggest acute liver injury, hepatitis, or alcohol-related liver disease. AST is particularly useful when interpreted in relation to other liver enzymes.

Gamma-Glutamyltransferase (GGT)
Gamma-Glutamyltransferase is an enzyme involved in detoxification processes and is sensitive to bile flow disturbances and alcohol intake. High GGT can point to cholestasis (bile duct problems), drug-induced liver injury, or chronic alcohol use. It often rises in tandem with ALP in bile duct disorders.

Albumin
Albumin is a major protein produced by the liver and is responsible for maintaining fluid balance in the bloodstream. Low albumin levels can reflect chronic liver disease, malnutrition, or inflammatory states, and are a key indicator of the liver’s ability to synthesise essential proteins.

Alkaline Phosphatase (ALP)
Alkaline Phosphatase is an enzyme found in the liver and bones. Raised ALP levels are often linked to bile duct obstruction, liver tumours, or gallstones, but may also rise in bone disorders. When both ALP and GGT are elevated, it usually suggests a liver or biliary cause.

Alanine Transferase (ALT)
Alanine Transferase is a liver-specific enzyme that becomes elevated when liver cells are damaged or inflamed. High ALT is one of the most sensitive markers for liver injury, including from viral hepatitis, fatty liver disease, or toxic medications.

Total Protein
Total Protein measures the overall amount of protein in the blood, including albumin and globulins. It gives a general picture of nutritional status, immune activity, and liver synthetic function. Abnormal levels may indicate chronic inflammation or hepatic insufficiency.

Globulin
Globulin represents a group of proteins involved in immune response and transport functions. High globulin levels may be seen in chronic liver disease, autoimmune hepatitis, or infections, while low levels can point to liver dysfunction or immune deficiency.