The overall tone reflects strong agreement and high interest, exemplified by posts sharing precise ALT ranges for healthy individuals and emphasizing the importance of proper evaluation techniques, such as requesting GGT for elevated alkaline phosphatase. Words like 'must' and references to 'guidelines' convey a sense of urgency and perceived clinical significance, indicating that these discussions are rooted in a desire to improve patient care and follow expert recommendations.
AgreementModerate agreement
Most discussions support the guidelines, citing their clarity and importance for evaluating abnormal liver chemistries.
InterestHigh interest
The posts show high engagement with the topic, referencing specific ranges for ALT and AST, and emphasizing proper assessment methods.
EngagementModerate engagement
Discussions involve sharing details about the guidelines, including the appropriate ALT cutoffs and diagnostic procedures, indicating active participation.
ImpactModerate impact
Participants recognize the guidelines as influential for clinical practice, suggesting they could improve diagnostic accuracy and patient outcomes.
Abstract in brief
Clinicians need to regularly evaluate abnormal liver chemistries, which include tests like ALT, AST, alkaline phosphatase, and bilirubin, to identify different types of liver injury.
Hepatocellular injury is indicated by higher AST and ALT levels relative to alkaline phosphatase, while cholestatic injury is marked by elevated alkaline phosphatase; high bilirubin levels can suggest liver or biliary problems.
Proper evaluation involves testing for viral hepatitis, fatty liver disease, alcohol-related issues, hereditary conditions, and reviewing medication history to determine the cause of abnormal liver chemistry results.]
@SVangimalla @tony_breu @ebtapper If you want to a good approach to abnormal LFTs, also check out this @AmCollegeGastro guideline by @PaulYKwo - https://t.co/5bgQR33gcj
#LiverTwitter
Mar 28, 2021 · 72 likes · 17 shares · 11,040 followersView post →
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筋肉博士
@muscle_penguin_ · X
ちなみに前に話題が出ていたけど、肝酵素のレベルが高くなくても脂肪肝が進んでいる可能性が高いことが知られているので、米国消化器病学会は、正常な ALT レベルの上限を男性 29-33U/L、女性 19-25 単位/Lと考えている。
https://t.co/w2iT5UEIIL
https://t.co/B1dij9atci
Jun 30, 2023 · 24 likes · 2 shares · 38,059 followersView post →
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Jorge Cortés
@Jcortesizaguirr · X
A true healthy normal ALT ranges from 29 to 33 IU/l for males and 19 to 25 IU/l for females, and levels above this should be assessed by physicians.
ACG Clinical Guideline: Evaluation of Abnormal Liver Chemistries
doi: 10.1038/ajg.2016.517
Dec 14, 2020 · 14 likes · 3 shares · 1,257 followersView post →
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Yeiscimin Escobedo
@YeisciminE · X
May 29, 2025 · 7 likes · 3 shares · 1,496 followersView post →
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Sergio Latorre, M.D.
@Sergiolato · X
@jackpenner @rabihmgeha @UCSFIMChiefs Great schema, but I think that AST and ALT 15x ULN is too high, according to an ACG paper more than 2-5x ULN is an mild elevation to suspect acute liver injury
doi: 10.1038/ajg.2016.517 https://t.co/shkOi5cH9Z
Jan 5, 2020 · 6 likes · 2 shares · 719 followersView post →
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Unremarkable Labs
@UnremarkableLab · X
If you want more about VBDS, check out the livertox page at https://t.co/ts0hP2fde2
If you want the guidelines on an approach to LFTs, check out ACG's at https://t.co/pSDpTwAxrt
Finally, a wonderful video on LFTs can be found on @DrEricStrong YT at https://t.co/AZVTowfTda
Hepatitis without symptoms is a silent disease that can damage your liver. This video explains how to identify key symptoms, clinical signs, risk factors, and the importance of early diagnosis to prevent serious…
RT @LizzieAbyMD: @SVangimalla @tony_breu @ebtapper If you want to a good approach to abnormal LFTs, also check out this @AmCollegeGastro gu…
Mar 31, 2021 · 17 shares · 24 followersView post →
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Yvette Achuo-Egbe, MD, MPH, MS
@AchuoEgbeMD · X
RT @LizzieAbyMD: @SVangimalla @tony_breu @ebtapper If you want to a good approach to abnormal LFTs, also check out this @AmCollegeGastro gu…
Mar 31, 2021 · 17 shares · 287 followersView post →
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Diego Ledro-Cano
@DiegoLCano1 · X
RT @LizzieAbyMD: @SVangimalla @tony_breu @ebtapper If you want to a good approach to abnormal LFTs, also check out this @AmCollegeGastro gu…
Mar 29, 2021 · 17 shares · 261 followersView post →
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DigestivoValdecilla
@DigValdecilla · X
RT @LizzieAbyMD: @SVangimalla @tony_breu @ebtapper If you want to a good approach to abnormal LFTs, also check out this @AmCollegeGastro gu…
Mar 29, 2021 · 17 shares · 1,401 followersView post →
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Tommy B. Palai
@PalaiTommy · X
RT @LizzieAbyMD: @SVangimalla @tony_breu @ebtapper If you want to a good approach to abnormal LFTs, also check out this @AmCollegeGastro gu…
Mar 29, 2021 · 17 shares · 172 followersView post →
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Dr Amit Dangi
@DrAmitDangi · X
RT @LizzieAbyMD: @SVangimalla @tony_breu @ebtapper If you want to a good approach to abnormal LFTs, also check out this @AmCollegeGastro gu…
Mar 29, 2021 · 17 shares · 1,122 followersView post →
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Jonásssssss
@yanomani22 · X
RT @LizzieAbyMD: @SVangimalla @tony_breu @ebtapper If you want to a good approach to abnormal LFTs, also check out this @AmCollegeGastro gu…
Mar 29, 2021 · 17 shares · 268 followersView post →
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Kelly McClymont
@kelly_mcclymont · X
RT @LizzieAbyMD: @SVangimalla @tony_breu @ebtapper If you want to a good approach to abnormal LFTs, also check out this @AmCollegeGastro gu…
Mar 29, 2021 · 17 shares · 246 followersView post →
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Rehbies
@rehbies · X
RT @LizzieAbyMD: @SVangimalla @tony_breu @ebtapper If you want to a good approach to abnormal LFTs, also check out this @AmCollegeGastro gu…
Mar 29, 2021 · 17 shares · 191 followersView post →
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Tanapong
@exodear · X
RT @LizzieAbyMD: @SVangimalla @tony_breu @ebtapper If you want to a good approach to abnormal LFTs, also check out this @AmCollegeGastro gu…
Mar 29, 2021 · 17 shares · 26 followersView post →
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Arun
@Charakan · X
RT @LizzieAbyMD: @SVangimalla @tony_breu @ebtapper If you want to a good approach to abnormal LFTs, also check out this @AmCollegeGastro gu…
Mar 28, 2021 · 17 shares · 3,315 followersView post →
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HA
@Haha202004 · X
RT @LizzieAbyMD: @SVangimalla @tony_breu @ebtapper If you want to a good approach to abnormal LFTs, also check out this @AmCollegeGastro gu…
Mar 28, 2021 · 17 shares · 191 followersView post →
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Alejandro Riva Palacio
@alexrp22 · X
RT @LizzieAbyMD: @SVangimalla @tony_breu @ebtapper If you want to a good approach to abnormal LFTs, also check out this @AmCollegeGastro gu…
Mar 28, 2021 · 17 shares · 26 followersView post →
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Paul Shaniuk
@PShaniuk · X
RT @LizzieAbyMD: @SVangimalla @tony_breu @ebtapper If you want to a good approach to abnormal LFTs, also check out this @AmCollegeGastro gu…
Mar 28, 2021 · 17 shares · 478 followersView post →
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Lizzie Aby, MD
@LizzieAbyMD · X
@SVangimalla @tony_breu @ebtapper If you want to a good approach to abnormal LFTs, also check out this @AmCollegeGastro guideline by @PaulYKwo - https://t.co/5bgQR33gcj
#LiverTwitter
Mar 28, 2021 · 72 likes · 17 shares · 11,040 followersView post →
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Elmaestro
@XaxiCarlos · X
RT @Jcortesizaguirr: A true healthy normal ALT ranges from 29 to 33 IU/l for males and 19 to 25 IU/l for females, and levels above this sho…
Dec 14, 2020 · 3 shares · 169 followersView post →
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Alberto Andrade
@Springandashura · X
RT @Jcortesizaguirr: A true healthy normal ALT ranges from 29 to 33 IU/l for males and 19 to 25 IU/l for females, and levels above this sho…
Dec 14, 2020 · 3 shares · 228 followersView post →
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Alexander Dicunta
@Alexxdicunta · X
RT @Jcortesizaguirr: A true healthy normal ALT ranges from 29 to 33 IU/l for males and 19 to 25 IU/l for females, and levels above this sho…
Dec 14, 2020 · 3 shares · 3,156 followersView post →
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Jorge Cortés
@Jcortesizaguirr · X
A true healthy normal ALT ranges from 29 to 33 IU/l for males and 19 to 25 IU/l for females, and levels above this should be assessed by physicians.
ACG Clinical Guideline: Evaluation of Abnormal Liver Chemistries
doi: 10.1038/ajg.2016.517
Dec 14, 2020 · 14 likes · 3 shares · 1,257 followersView post →
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ItsArturoR
@Arturorp92 · X
Recordar, ALT más específica que AST para evaluar patrón de lesión hepático, AST también se sintetiza en cerebro, musculo cardíaco y cerebro.
Sí tienes Fosfatasa alcalina elevada, pide tu GGT para comprobar que se trate de origen hepático, no al revés.
doi: 10.1038/ajg.2016.517
If you want more about VBDS, check out the livertox page at https://t.co/ts0hP2fde2
If you want the guidelines on an approach to LFTs, check out ACG's at https://t.co/pSDpTwAxrt
Finally, a wonderful video on LFTs can be found on @DrEricStrong YT at https://t.co/AZVTowfTda
@jackpenner @rabihmgeha @UCSFIMChiefs Great schema, but I think that AST and ALT 15x ULN is too high, according to an ACG paper more than 2-5x ULN is an mild elevation to suspect acute liver injury
doi: 10.1038/ajg.2016.517 https://t.co/shkOi5cH9Z
Jan 5, 2020 · 6 likes · 2 shares · 719 followersView post →
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malvado Dr. tocino
@MCornejoG89 · X
@el_internista Chulada, ahí va un must. De la Acg 2017. doi: 10.1038/ajg.2016.517
org/10.1038/ajg.2016.517 - Newsome, P. N., et al. (2017). Guidelines on the management of abnormal liver blood tests. Gut, 67(1), 6–19. https://doi.org ...
Enzimas Hepaticas | PDF | Hígado | Enfermedades digestivas
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https://doi.org/10.1038/ajg.2016.517. Kwo, P. Y., Cohen, S. M., & Lim, J. K. (2017). ACG Clinical Guideline: Evaluation of Abnormal Liver Chemistries ...
... 10.1038/ajg.2016.517. MỨC ĐỘ TĂNG AMINOTRANSFERASE. ▫ VG cấp: ALT, AST tăng cao >10 lần. AST, ALT > 1000U/l: tổn thương gan do thiếu máu, viêm gan cấp do ...
Dra. Claudia Murillo Armendáriz - Medicina Interna | La Piedad de ...
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Am J Gastroenterol 2017; 112:18–35; doi: 10.1038/ajg. 2016.517 Recordatorio sobre la toxicidad hepática con el uso de herbolaria o "productos milagro" . No ...
Am J Gastroenterol 2017; 112:18–35; doi: 10.1038/ajg. 2016.517 Recordatorio sobre la toxicidad hepática con el uso de herbolaria o "productos milagro" . No ...
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17, 2020. Kwo PY, et al. ACG clinical guideline: Elevation of abnormal liver chemistries. American Journal of Gastroenterology. 2017; doi:10.1038/ajg.2016.517.
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