• Published on: Sep 15, 2021
  • 5 minute read
  • By: Dr Rakesh Rai

Everything About Liver Function Tests- Purpose & Significance

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Everything About Liver Function Tests- Purpose & Significance

Liver function tests are medical laboratory tests that measure the number of various substances in the blood that are released into your blood by liver cells or made by your liver. These substances are often called "liver enzymes" because they are enzymes that are produced exclusively by the liver to help regulate metabolism for processing chemicals, nutrients, and drugs.

A high level of any one of these may suggest an abnormal situation involving your liver. The most common symptoms associated with a problem involving your liver include nausea, vomiting, yellowing skin color (jaundice), fever, and abdominal discomfort such as pain on gentle pressing around about halfway down on the right side of the abdomen.

A liver function test is a blood test that evaluates an individual's liver function or sees if there may be a problem in this organ. Liver functions including leukocyte count, alkaline phosphatase, ALT/AST enzymes, and bilirubin levels are measured with results interpreted by physicians who then advise treatment options to relieve pain or reduce the risk of liver disease. If the level of these agents is elevated then the physician will typically recommend further diagnostics such as antibody testing for hepatitis B and C infections, ultrasounds, and biopsies.

Liver function tests are a series of blood tests used to evaluate liver function. Tests may include the following:

  • Inclusion of serum albumin or total proteins as variables in the SMA12 test
  • Albumin fractional catabolic rate (ACR) and erythrocyte sedimentation rate (ESR) measurements, which can be used as a surrogate marker for changes in hepatocellular activity
  • Visible change is indicative that hepatocytes have been damaged or destroyed, an indicator that liver disease is present.
  • Fractional synthetic rate of albumin synthesis calculated from measurements of serum creatinine and urinary urea nitrogen providing information about hepatocyte intracellular mass status with decreased album

The most common of these are aminotransferases ALT and AST. These enzymes are released into the bloodstream in excessive amounts by the cells that line the bile ducts that carry bile from the liver - where it gets made - to where it gets used up in digestion ??i.e., all over your body, not just in your liver but also near your kidneys) when there's any sort of problem with those cells or with damage done to them because of some other hurtful event.

In the context of a medical lab test, a liver function test is anyone that has to do with the liver. Serum bilirubin, alanine aminotransferase (ALT), aspartate aminotransferase (AST), and alkaline phosphatase are common ones. A veterinarian could use ultrasound as well as biochemistry analysis. These tests show how well your liver is performing its duty to remove toxins from your body and to make bile for those toxins.  Liver function tests are conducted to assess the liver's ability to convert inactive substances in your blood to active ones.

Alanine aminotransferase (ALT/SGPT): tests what process - amino acid, carbohydrate, or fat - your liver is having trouble breaking down to store sugar for later use indigestion. This test will only show what type of enzyme the liver has difficulty processing at this time, so if this is normal but an alkaline phosphatase test comes back abnormal, this means there may be a different illness affecting the liver.

The test can measure certain chemicals that are released because of metabolism and excreted from the body in urine, such as albumin.

The most common indicators measured by blood-based liver function tests include GGT, ALP, total bilirubin / conjugated/unconjugated bilirubin, ALT and ASAT.

A group of enzymes found in healthy livers called GOT (gamma-glutamyl transpeptidase) and GPT (gamma-glutamyltransferase) can also be measured to determine damage to liver cells.

Liver Function Tests (LFTs) are a group of tests that measure the levels and function of various substances in the blood leave before digestion and within the liver. These include enzymes and proteins made by the liver; cholesterol, copper, iron, calcium, sodium, potassium; bilirubin level; albumin levels. The LFTs can be used to help diagnose many diseases such as viral hepatitis or alcoholic liver disease.

A history would normally prompt additional testing such as abdominal imaging for gallstones or metabolic abnormalities like cirrhosis caused by alcohol consumption. Kidney function should be tested because high-protein diets may cause kidney problems too. A genetic test might be warranted if there is a family history of inheritance. Liver function tests are a group of blood tests that doctors might use to evaluate the liver's ability to gather and store glycogen (sugar) and protein, produce bile, filter the blood, and produce cholesterol.

Drugs can accumulate in liver cells, leading to changes in levels of enzymes. Enzymes that are elevated may indicate an inflammatory or viral process as well as the use of certain medications such as steroids which need some time to clear from the body after discontinuation. The test isn't specific for any disease but can show if there is a liver problem even before symptoms occur, including cirrhosis and early hepatitis B and C infections. When first conducted, rapid elevations or decreases might be indications of acute injury or pre-clinically chronic injury respectively.

The liver may be the body's most important gland. It synthesizes nutrients from fat, carbohydrates, and protein into a form that can be absorbed by the blood to supply the cells, brain, and other tissues with a continuous supply of fuel. The liver also acts as a storage center for high-density energy reserves in times of food shortage or famine.

In response to viruses or bacteria which enter from our gut through their ingestion of contaminated water or insects’ excretions for example), substances called antibodies are manufactured in great numbers by specialized cells in an inflammatory reaction known as acute hepatitis. LFT helps measure the liver's endurance, by testing erythrocyte count, serum albumin level, bilirubin level and prothrombin time.

It's normal for your erythrocyte count to drop over time as you age. This is due mainly to the production of fewer red blood cells in your bone marrow. It may provide an indication of what is happening inside the liver with regard to the regeneration of new cells. An elevated or persistently high level can indicate cirrhosis or cancer. If it's persistently high, then requires radiologic imaging for diagnosis.

The liver function tests are blood tests that tell the physician how well the liver is working. The enzymes GGT, ALT, AST, and ALP are primarily tested to examine what should be healthy activities through three phases of hepatic metabolism. Since these enzymes exist primarily in the liver, they do not normally show up in any other tissue or fluid other than the bloodstream. If there is a disease that affects the cells within the liver, then inflammatory processes will ensue. This will lead to excessive production of oxygen-free radicals to facilitate cell death and release toxins into circulation which can affect all body systems including altering enzyme quantities, so they bump up against their normal reference ranges for evaluation.

The purpose of liver function tests is to diagnose and monitor a person's condition, based on levels of certain enzymes in the blood.

A high level of transaminases might be due to a variety of diseases or conditions, including hepatitis, cirrhosis, biliary obstruction from gallstones, or pancreatitis. Liver disease disrupting the production and release of albumin will also produce abnormally low-level albumin which can be detected with this test. A qualitative determination can be made if large amounts of Clotting Factor VIII are released into the bloodstream - Hepaetous Patina (HP) - leading to severe bleeding episodes independent from coagulation defects where plasma clotting normally should take place.

Liver function tests measure the level of different substances produced or used by the liver, such as albumin. The liver conditions may include fatty liver (hepatic steatosis), alcoholic hepatitis, cirrhosis, and many disorders affecting other parts of the body which ultimately damage the working capacity of your liver. Liver function tests are not meant to detect acute hepatitis or mild cases of elevated enzyme levels that commonly resolve on their own. Normal results suggest that there is no abnormality with your kidneys. Abnormal livers often show high amounts of creatinine kinase (CK) and alanine aminotransferase (ALT).

The liver is the body's only organ able to break down toxic compounds, so its function must be checked. The example you gave -- SGPT, or aspartate aminotransferase -- measures the level of a major liver enzyme. High levels could indicate damage from drugs also used for weight loss, such as acetaminophen/paracetamol (Tylenol) or metformin (Glucophage). Too-low levels of hepatocyte enzymes mean that the liver's not functioning properly and may develop complications like hepatitis and cirrhosis.

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Busting Nutrition Myths in India: An Evidence-Based Guide Powered by SecondMedic’s AI Health Guide

Busting Nutrition Myths in India: An Evidence-Based Guide Powered by SecondMedic’s AI Health Guide

Nutrition misinformation has become increasingly common in India. From viral social media diets to generational food beliefs, many individuals struggle to separate fact from fiction. These myths can influence daily habits, delay proper treatment and contribute to the growing burden of lifestyle diseases.

SecondMedic’s AI Health Guide was designed to offer clarity. By analysing scientific literature, Indian dietary patterns and personal health inputs, it explains complex nutrition topics in a human-friendly, practical manner. This blog explores the most widespread nutrition myths in India and how an AI-enabled approach helps users make informed dietary decisions.

 

Why Nutrition Myths Persist in India

1. Cultural dietary traditions

Food practices often evolve through experience but not always through evidence. Certain long-held assumptions continue despite scientific updates.

2. Rise of viral misinformation

Millions of Indians search diet advice online daily, and misleading content spreads rapidly without expert review.

3. High prevalence of lifestyle diseases

ICMR and NFHS-5 highlight escalating rates of:

  • Diabetes

  • Obesity

  • Hypertension

  • PCOS

  • Thyroid disorders
     

The public seeks quick solutions, making myths appealing.

4. Limited access to qualified dietitians

Many people rely on hearsay or generic tips rather than personalised nutrition guidance.

SecondMedic’s AI Health Guide bridges this gap by offering accessible, evidence-backed explanations.

 

Myth 1: “Carbohydrates always lead to weight gain.”

Carbohydrates are not inherently harmful.
The problem lies in refined carbohydrates like white bread, sugary drinks and packaged snacks.

What the science says

Whole grains, millets, oats and fibre-rich carbs improve:

  • Gut health

  • Blood sugar regulation

  • Energy levels
     

Research in Lancet Public Health confirms that complex carbs support metabolic wellbeing.

AI Health Guide perspective

The system evaluates:

  • Activity level

  • Blood sugar trends

  • Dietary preferences
     

Then recommends the type and quantity of carbs suitable for the individual.

 

Myth 2: “Protein damages the kidneys.”

This is one of India’s most common misconceptions.

Clinical reality

Protein affects kidneys only in individuals with existing kidney disease.

NFHS-5 shows that most Indians do not meet their daily protein requirement.

Balanced approach

Safe protein sources:

  • Lentils

  • Paneer

  • Eggs

  • Tofu

  • Chicken

  • Fish
     

An AI-guided nutrition plan ensures intake matches needs and health conditions.

 

Myth 3: “All fats are unhealthy.”

Fats play essential roles in:

  • Hormone production

  • Brain function

  • Vitamin absorption
     

Good fats

  • Nuts and seeds

  • Olive oil

  • Flaxseed

  • Fatty fish
     

Harmful fats

  • Trans fats

  • Hydrogenated oils

  • Deep-fried packaged snacks
     

SecondMedic’s AI Health Guide analyses dietary logs to suggest healthier fat alternatives.

 

Myth 4: “Detox diets cleanse the body.”

Detox teas, juices and cleanses are popular but not scientifically validated.

Actual detoxification

The liver, kidneys and digestive system naturally remove toxins.

Risks of extreme detox diets

  • Fatigue

  • Digestive distress

  • Slow metabolism

  • Nutrient deficiencies
     

A sustainable alternative includes balanced meals, hydration and fibre-rich foods.

 

Myth 5: “Eating after 8 PM causes weight gain.”

Timing is not the primary factor.
Weight gain depends on:

  • Total calorie intake

  • Food quality

  • Portion control

  • Sleep-wake cycles
     

For shift workers or late diners, an AI-based guide personalises eating windows that match biological rhythms.

 

How AI Personalises Nutrition Guidance for India

The AI Health Guide adapts advice based on:

• Clinical inputs

Blood reports, symptoms, chronic conditions.

• Lifestyle signals

Sleep, activity, stress, work schedules.

• Cultural eating patterns

North Indian, South Indian, vegetarian, non-vegetarian diets.

• Personal health goals

Weight control, energy improvement, disease management.

This ensures that the guidance is not generic-it is tailored for real-life Indian scenarios.

 

How an AI Health Guide Supports Preventive Healthcare

1. Early risk identification

AI recognises patterns that may indicate:

  • Rising blood sugar

  • Nutrient deficiencies

  • Poor digestion

  • Inflammatory markers
     

2. Behavioural nudges

Small, realistic changes are suggested instead of extreme diet plans.

3. Improved health literacy

Users understand why certain foods are better choices.

4. Better medical support

Clear explanations enhance doctor and dietitian consultations.

 

Conclusion

Nutrition myths can lead individuals toward restrictive diets, nutrient deficiencies and misguided health decisions. With rising lifestyle diseases in India, accurate nutrition knowledge is essential. A scientific, personalised approach-supported by an AI Health Guide-helps individuals navigate misinformation confidently.

By combining evidence-based insights with individual dietary needs, SecondMedic’s AI-driven guidance empowers people to adopt sustainable, preventive and truly health-enhancing food habits.

 

References

• ICMR Indian Nutrition Profile & Dietary Science Study
• National Family Health Survey (NFHS-5) - Protein Intake & Micronutrient Data
• NITI Aayog - Preventive Health & Digital Nutrition Insights
• WHO Global Dietary Guidelines & Balanced Nutrition Framework
• Lancet Public Health - Carbohydrate Quality & Metabolic Health Studies
• Statista - India Digital Nutrition & Health Behaviour Analysis
• EY-FICCI - AI and Preventive Healthcare Consumer Report

See all

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