Mito Health: Helping you live healthier, longer.
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ALP vs GGT: Key Differences Explained
Discover the differences between ALP and GGT to understand their health implications.

Written by
Mito Team

Introduction
This guide compares Alkaline Phosphatase (ALP) and Gamma-glutamyl Transferase (GGT). While both are important indicators of liver function, they offer distinct diagnostic insights. Understanding when to test for each can help clinicians make more informed decisions.
What Is Alkaline Phosphatase (ALP)?
Alkaline Phosphatase (ALP) is an enzyme linked to bile duct function and bone turnover. It’s commonly elevated in conditions like liver obstruction or bone diseases.
What Is Gamma-glutamyl Transferase (GGT)?
Gamma-glutamyl Transferase (GGT) reflects how the liver metabolizes or excretes bilirubin or other enzymes, often signaling hepatocellular damage or cholestasis depending on the subtype.
Quick Comparison Table
Aspect | Alkaline Phosphatase (ALP) | Gamma-glutamyl Transferase (GGT) |
---|---|---|
Primary Function | Biliary and bone health marker | Liver metabolism or bile excretion |
Diagnostic Relevance | Cholestasis, bone disease | Jaundice, liver dysfunction |
Testing Speed | Standard panel | Standard panel |
Specificity | Low (affected by bone too) | Higher (e.g. bilirubin subtypes) |
Clinical Use | Obstructive liver disorders | Hepatocellular vs hemolytic evaluation |
Measurement Units | U/L | mg/dL or µmol/L |
Normal Range | 44–147 U/L | Varies by test type |
Use Case | Gallstones, rickets, liver obstruction | Hepatitis, hemolysis, jaundice classification |
Which Test Should You Choose?
Choose Alkaline Phosphatase (ALP) if the clinical suspicion includes biliary obstruction or bone-related pathology. Opt for Gamma-glutamyl Transferase (GGT) when jaundice or bilirubin metabolism is central to the diagnosis.
Pros and Limitations
Alkaline Phosphatase (ALP) Pros: Helpful for detecting obstructive and skeletal issues.
Limitations: May yield false positives due to bone disease.
Gamma-glutamyl Transferase (GGT) Pros: Distinguishes between conjugated and unconjugated bilirubin issues.
Limitations: Interpretation depends on correct test subtype.
Using Both Together
Testing both markers can provide complementary information for evaluating the nature and extent of liver dysfunction.
When to Test
Doctors order these tests during routine liver panels or when evaluating unexplained fatigue, jaundice, or abnormal liver enzyme levels.
FAQs
Can both be elevated at the same time?
Yes, especially in cases of liver obstruction or significant liver damage.
Do these markers always indicate liver issues?
Alkaline Phosphatase (ALP) can also reflect bone disorders, so context matters.
Should I fast before the test?
Fasting is not typically required but follow your doctor's instructions.
ALP vs GGT: Key Differences Explained
Discover the differences between ALP and GGT to understand their health implications.

Written by
Mito Team

Introduction
This guide compares Alkaline Phosphatase (ALP) and Gamma-glutamyl Transferase (GGT). While both are important indicators of liver function, they offer distinct diagnostic insights. Understanding when to test for each can help clinicians make more informed decisions.
What Is Alkaline Phosphatase (ALP)?
Alkaline Phosphatase (ALP) is an enzyme linked to bile duct function and bone turnover. It’s commonly elevated in conditions like liver obstruction or bone diseases.
What Is Gamma-glutamyl Transferase (GGT)?
Gamma-glutamyl Transferase (GGT) reflects how the liver metabolizes or excretes bilirubin or other enzymes, often signaling hepatocellular damage or cholestasis depending on the subtype.
Quick Comparison Table
Aspect | Alkaline Phosphatase (ALP) | Gamma-glutamyl Transferase (GGT) |
---|---|---|
Primary Function | Biliary and bone health marker | Liver metabolism or bile excretion |
Diagnostic Relevance | Cholestasis, bone disease | Jaundice, liver dysfunction |
Testing Speed | Standard panel | Standard panel |
Specificity | Low (affected by bone too) | Higher (e.g. bilirubin subtypes) |
Clinical Use | Obstructive liver disorders | Hepatocellular vs hemolytic evaluation |
Measurement Units | U/L | mg/dL or µmol/L |
Normal Range | 44–147 U/L | Varies by test type |
Use Case | Gallstones, rickets, liver obstruction | Hepatitis, hemolysis, jaundice classification |
Which Test Should You Choose?
Choose Alkaline Phosphatase (ALP) if the clinical suspicion includes biliary obstruction or bone-related pathology. Opt for Gamma-glutamyl Transferase (GGT) when jaundice or bilirubin metabolism is central to the diagnosis.
Pros and Limitations
Alkaline Phosphatase (ALP) Pros: Helpful for detecting obstructive and skeletal issues.
Limitations: May yield false positives due to bone disease.
Gamma-glutamyl Transferase (GGT) Pros: Distinguishes between conjugated and unconjugated bilirubin issues.
Limitations: Interpretation depends on correct test subtype.
Using Both Together
Testing both markers can provide complementary information for evaluating the nature and extent of liver dysfunction.
When to Test
Doctors order these tests during routine liver panels or when evaluating unexplained fatigue, jaundice, or abnormal liver enzyme levels.
FAQs
Can both be elevated at the same time?
Yes, especially in cases of liver obstruction or significant liver damage.
Do these markers always indicate liver issues?
Alkaline Phosphatase (ALP) can also reflect bone disorders, so context matters.
Should I fast before the test?
Fasting is not typically required but follow your doctor's instructions.
Mito Health: Helping you live healthier, longer.
In-depth bloodwork & holistic health advice, backed by the latest longevity science. Only $399.
Mito Health: Helping you live healthier, longer.
In-depth bloodwork & holistic health advice, backed by the latest longevity science. Only $399.
ALP vs GGT: Key Differences Explained
Discover the differences between ALP and GGT to understand their health implications.

Written by
Mito Team

Introduction
This guide compares Alkaline Phosphatase (ALP) and Gamma-glutamyl Transferase (GGT). While both are important indicators of liver function, they offer distinct diagnostic insights. Understanding when to test for each can help clinicians make more informed decisions.
What Is Alkaline Phosphatase (ALP)?
Alkaline Phosphatase (ALP) is an enzyme linked to bile duct function and bone turnover. It’s commonly elevated in conditions like liver obstruction or bone diseases.
What Is Gamma-glutamyl Transferase (GGT)?
Gamma-glutamyl Transferase (GGT) reflects how the liver metabolizes or excretes bilirubin or other enzymes, often signaling hepatocellular damage or cholestasis depending on the subtype.
Quick Comparison Table
Aspect | Alkaline Phosphatase (ALP) | Gamma-glutamyl Transferase (GGT) |
---|---|---|
Primary Function | Biliary and bone health marker | Liver metabolism or bile excretion |
Diagnostic Relevance | Cholestasis, bone disease | Jaundice, liver dysfunction |
Testing Speed | Standard panel | Standard panel |
Specificity | Low (affected by bone too) | Higher (e.g. bilirubin subtypes) |
Clinical Use | Obstructive liver disorders | Hepatocellular vs hemolytic evaluation |
Measurement Units | U/L | mg/dL or µmol/L |
Normal Range | 44–147 U/L | Varies by test type |
Use Case | Gallstones, rickets, liver obstruction | Hepatitis, hemolysis, jaundice classification |
Which Test Should You Choose?
Choose Alkaline Phosphatase (ALP) if the clinical suspicion includes biliary obstruction or bone-related pathology. Opt for Gamma-glutamyl Transferase (GGT) when jaundice or bilirubin metabolism is central to the diagnosis.
Pros and Limitations
Alkaline Phosphatase (ALP) Pros: Helpful for detecting obstructive and skeletal issues.
Limitations: May yield false positives due to bone disease.
Gamma-glutamyl Transferase (GGT) Pros: Distinguishes between conjugated and unconjugated bilirubin issues.
Limitations: Interpretation depends on correct test subtype.
Using Both Together
Testing both markers can provide complementary information for evaluating the nature and extent of liver dysfunction.
When to Test
Doctors order these tests during routine liver panels or when evaluating unexplained fatigue, jaundice, or abnormal liver enzyme levels.
FAQs
Can both be elevated at the same time?
Yes, especially in cases of liver obstruction or significant liver damage.
Do these markers always indicate liver issues?
Alkaline Phosphatase (ALP) can also reflect bone disorders, so context matters.
Should I fast before the test?
Fasting is not typically required but follow your doctor's instructions.
Mito Health: Helping you live healthier, longer.
In-depth bloodwork & holistic health advice, backed by the latest longevity science. Only $399.
ALP vs GGT: Key Differences Explained
Discover the differences between ALP and GGT to understand their health implications.

Written by
Mito Team

Introduction
This guide compares Alkaline Phosphatase (ALP) and Gamma-glutamyl Transferase (GGT). While both are important indicators of liver function, they offer distinct diagnostic insights. Understanding when to test for each can help clinicians make more informed decisions.
What Is Alkaline Phosphatase (ALP)?
Alkaline Phosphatase (ALP) is an enzyme linked to bile duct function and bone turnover. It’s commonly elevated in conditions like liver obstruction or bone diseases.
What Is Gamma-glutamyl Transferase (GGT)?
Gamma-glutamyl Transferase (GGT) reflects how the liver metabolizes or excretes bilirubin or other enzymes, often signaling hepatocellular damage or cholestasis depending on the subtype.
Quick Comparison Table
Aspect | Alkaline Phosphatase (ALP) | Gamma-glutamyl Transferase (GGT) |
---|---|---|
Primary Function | Biliary and bone health marker | Liver metabolism or bile excretion |
Diagnostic Relevance | Cholestasis, bone disease | Jaundice, liver dysfunction |
Testing Speed | Standard panel | Standard panel |
Specificity | Low (affected by bone too) | Higher (e.g. bilirubin subtypes) |
Clinical Use | Obstructive liver disorders | Hepatocellular vs hemolytic evaluation |
Measurement Units | U/L | mg/dL or µmol/L |
Normal Range | 44–147 U/L | Varies by test type |
Use Case | Gallstones, rickets, liver obstruction | Hepatitis, hemolysis, jaundice classification |
Which Test Should You Choose?
Choose Alkaline Phosphatase (ALP) if the clinical suspicion includes biliary obstruction or bone-related pathology. Opt for Gamma-glutamyl Transferase (GGT) when jaundice or bilirubin metabolism is central to the diagnosis.
Pros and Limitations
Alkaline Phosphatase (ALP) Pros: Helpful for detecting obstructive and skeletal issues.
Limitations: May yield false positives due to bone disease.
Gamma-glutamyl Transferase (GGT) Pros: Distinguishes between conjugated and unconjugated bilirubin issues.
Limitations: Interpretation depends on correct test subtype.
Using Both Together
Testing both markers can provide complementary information for evaluating the nature and extent of liver dysfunction.
When to Test
Doctors order these tests during routine liver panels or when evaluating unexplained fatigue, jaundice, or abnormal liver enzyme levels.
FAQs
Can both be elevated at the same time?
Yes, especially in cases of liver obstruction or significant liver damage.
Do these markers always indicate liver issues?
Alkaline Phosphatase (ALP) can also reflect bone disorders, so context matters.
Should I fast before the test?
Fasting is not typically required but follow your doctor's instructions.
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What could cost you $15,000?
$349 with Mito.
No hidden fees. No subscription traps. Just real care.
What's included
Core Test - Comprehensive lab test covering 100+ biomarkers
Clinician reviewed insights and action plan
1:1 consultation with a real clinician
Upload past lab reports for lifetime tracking
Dedicated 1:1 health coaching
What could cost you $15,000?
$349 with Mito.
No hidden fees. No subscription traps. Just real care.
What's included
Core Test - Comprehensive lab test covering 100+ biomarkers
Clinician reviewed insights and action plan
1:1 consultation with a real clinician
Upload past lab reports for lifetime tracking
Dedicated 1:1 health coaching
What could cost you $15,000?
$349 with Mito.
No hidden fees. No subscription traps. Just real care.
What's included
Core Test - Comprehensive lab test covering 100+ biomarkers
Clinician reviewed insights and action plan
1:1 consultation with a real clinician
Upload past lab reports for lifetime tracking
Dedicated 1:1 health coaching
What could cost you $15,000?
$349 with Mito.
No hidden fees. No subscription traps. Just real care.
Core Test - Comprehensive lab test covering 100+ biomarkers
Clinician reviewed insights and action plan
1:1 consultation with a real clinician
Upload past lab reports for lifetime tracking
Dedicated 1:1 health coaching