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A recent study further demonstrated that smoking increased the risk of ALD, cirrhosis, and HCC by 1.32-, 1.53-, and 1.53-fold, respectively (all p 1 pack/day), is associated with elevated alanine aminotransferase (ALT) levels in HCV antibody-positive patients [16]

Thus if the increase in ALP is 5 to 10 times, while GGT is not increased or is only increased 1 to 2 times, then the likely diagnosis is hepatic lipidosis.14, 15, 16 Other than enzymes on the biochemistry panel, which are of limited value for assessing liver function, there are several key tests that can be used to help assess liver function cats with elevated liver enzymes