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

Written by
Mito Team

Introduction
This guide compares Gamma-glutamyl Transferase (GGT) and Total Bilirubin. 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 Gamma-glutamyl Transferase (GGT)?
Gamma-glutamyl Transferase (GGT) 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 Total Bilirubin?
Total Bilirubin 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 | Gamma-glutamyl Transferase (GGT) | Total Bilirubin |
|---|---|---|
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 Gamma-glutamyl Transferase (GGT) if the clinical suspicion includes biliary obstruction or bone-related pathology. Opt for Total Bilirubin when jaundice or bilirubin metabolism is central to the diagnosis.
Pros and Limitations
Gamma-glutamyl Transferase (GGT) Pros: Helpful for detecting obstructive and skeletal issues.
Limitations: May yield false positives due to bone disease.
Total Bilirubin 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?
Gamma-glutamyl Transferase (GGT) 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.
GGT vs Total Bilirubin: Key Differences Explained
Discover the differences between GGT and Total Bilirubin to understand their health implications.

Written by
Mito Team

Introduction
This guide compares Gamma-glutamyl Transferase (GGT) and Total Bilirubin. 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 Gamma-glutamyl Transferase (GGT)?
Gamma-glutamyl Transferase (GGT) 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 Total Bilirubin?
Total Bilirubin 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 | Gamma-glutamyl Transferase (GGT) | Total Bilirubin |
|---|---|---|
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 Gamma-glutamyl Transferase (GGT) if the clinical suspicion includes biliary obstruction or bone-related pathology. Opt for Total Bilirubin when jaundice or bilirubin metabolism is central to the diagnosis.
Pros and Limitations
Gamma-glutamyl Transferase (GGT) Pros: Helpful for detecting obstructive and skeletal issues.
Limitations: May yield false positives due to bone disease.
Total Bilirubin 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?
Gamma-glutamyl Transferase (GGT) 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.
GGT vs Total Bilirubin: Key Differences Explained
Discover the differences between GGT and Total Bilirubin to understand their health implications.

Written by
Mito Team

Introduction
This guide compares Gamma-glutamyl Transferase (GGT) and Total Bilirubin. 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 Gamma-glutamyl Transferase (GGT)?
Gamma-glutamyl Transferase (GGT) 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 Total Bilirubin?
Total Bilirubin 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 | Gamma-glutamyl Transferase (GGT) | Total Bilirubin |
|---|---|---|
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 Gamma-glutamyl Transferase (GGT) if the clinical suspicion includes biliary obstruction or bone-related pathology. Opt for Total Bilirubin when jaundice or bilirubin metabolism is central to the diagnosis.
Pros and Limitations
Gamma-glutamyl Transferase (GGT) Pros: Helpful for detecting obstructive and skeletal issues.
Limitations: May yield false positives due to bone disease.
Total Bilirubin 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?
Gamma-glutamyl Transferase (GGT) 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.
GGT vs Total Bilirubin: Key Differences Explained
Discover the differences between GGT and Total Bilirubin to understand their health implications.

Written by
Mito Team

Introduction
This guide compares Gamma-glutamyl Transferase (GGT) and Total Bilirubin. 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 Gamma-glutamyl Transferase (GGT)?
Gamma-glutamyl Transferase (GGT) 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 Total Bilirubin?
Total Bilirubin 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 | Gamma-glutamyl Transferase (GGT) | Total Bilirubin |
|---|---|---|
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 Gamma-glutamyl Transferase (GGT) if the clinical suspicion includes biliary obstruction or bone-related pathology. Opt for Total Bilirubin when jaundice or bilirubin metabolism is central to the diagnosis.
Pros and Limitations
Gamma-glutamyl Transferase (GGT) Pros: Helpful for detecting obstructive and skeletal issues.
Limitations: May yield false positives due to bone disease.
Total Bilirubin 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?
Gamma-glutamyl Transferase (GGT) 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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Trusted by thousands of members
Concierge-level care. Without the concierge-level price.
What's included

Comprehensive lab testing (Core)
100+ biomarkers analyzed at 2,000+ labs nationwide

Clinician-reviewed insights & action plan
Doctor-designed recommendations across exercise, nutrition, and supplements

1:1 personalized clinician visit
Meet with your dedicated clinician to review your results and define next steps

Lifetime health record tracking
Upload past labs and monitor your progress over time

Biological age analysis
See how your body is aging and what’s driving it

Access to advanced diagnostics
Access additional specialty panels and scans at exclusive member pricing
Precision health, made accessible.
HSA/FSA eligible
One-time payment, no hidden fees or subscription trap
Codeveloped with clinicians at MIT & Stanford
Less than $1/ day
Buy more & save:
Individual
$50 off (Save 13%)
$349
$399
Duo Bundle (For 2)
$334 per person
$668
$798
popular
★ ★ ★ ★ ★
Trusted by thousands of members
Concierge-level care. Without the concierge-level price.
What's included

Comprehensive lab testing (Core)
100+ biomarkers analyzed at 2,000+ labs nationwide

Clinician-reviewed insights & action plan
Doctor-designed recommendations across exercise, nutrition, and supplements

1:1 personalized clinician visit
Meet with your dedicated clinician to review your results and define next steps

Lifetime health record tracking
Upload past labs and monitor your progress over time

Biological age analysis
See how your body is aging and what’s driving it

Access to advanced diagnostics
Access additional specialty panels and scans at exclusive member pricing
Precision health, made accessible.
HSA/FSA eligible
One-time payment, no hidden fees or subscription trap
Codeveloped with clinicians at MIT & Stanford
Less than $1/ day
Buy more & save:
Individual
$50 off (Save 13%)
$349
$399
Duo Bundle (For 2)
$334 per person
$668
$798
popular
★ ★ ★ ★ ★
Trusted by thousands of members



