Know your liver

Liver enzymes: An indicator for the health of your liver

Certain proteins (enzymes) play an important role as biocatalysts in the metabolic processes in the liver. Monitoring these liver enzymes is a part of routine blood tests.

Elevated liver enzymes may indicate inflammation or damage to cells in the liver. However, they do not say anything about the type of liver disease. Evaluating enzyme levels requires medical experience, since some of the enzymes important for liver diagnostics also occur in cells of other organs. The most important factor is the enzyme pattern and how it correlates with further examination findings.

Liver Enzymes: Overview

Disorders in liver cells

Parameter
Normal value
Aspartate aminotransferase (AST)
♂ 10 – 50 U/l at 37°C
♀ 10 – 35 U/l at 37°C
Alanine transaminase (ALT)
♂ 10 – 50 U/l at 37°C
♀ 10 – 35 U/l at 37°C
Gamma glutamyl transpeptidase (GGT)
♂ < 66 U/l at 37°C
♀ < 39 U/l at 37°C
Glutamate dehydrogenase (GLDH, GDH)
♂ < 6.4 U/l
♀ < 4.8 U/l
Iron (FE)
♂ 59 – 158 µg/dl
♀ 37 – 145 µg/dl
Zinc (Zn)
46-150 µg/dl

Obligatory texts Hepa-Merz®

EU:

Hepa- Merz®  Granules
Active substance: L-ornithine- L-aspartate
Indications: Treatment of concomitant disease and sequelae due to impaired detoxification activity (e.g. in cirrhosis of the liver) with the symptoms of latent and manifest hepatic encephalopathy. Contains orange yellow S (E110), fructose,

For risks and side effects please read package insert and ask your doctor or pharmacist.

Version July 2019


Merz Pharmaceuticals GmbH, 60048 Frankfurt

LATAM:

Hepa- Merz®  Granules
Active substance: L-ornithine- L-aspartate
Indications: Treatment of concomitant disease and sequelae due to impaired detoxification activity (e.g. in cirrhosis of the liver) with the symptoms of latent and manifest hepatic encephalopathy. Contains orange yellow S (E110), fructose, aspartame.

For risks and side effects please read package insert and ask your doctor or pharmacist.

Version July 2019


Merz Pharmaceuticals GmbH, 60048 Frankfurt