What Causes Elevated Liver Enzyme Levels?
Elevated liver enzyme levels can have various causes, just like most other symptoms. Finding the true cause means ruling out or confirming each possibility – in other words, diagnosis.
Diagnosis is usually a complex process due to the sheer number of possible causes and related symptoms. In order to diagnose elevated liver enzyme levels, we could:
- Research the topic
- Find a doctor with the time
- Use a diagnostic computer system.
The process is the same, whichever method is used.
Step 1: List all Possible Causes
We begin by identifying the disease conditions which have "elevated liver enzyme levels" as a symptom. Here are two possibilities:
- Hemochromatosis
- Liver Congestion
Step 2: Build a Symptom Checklist
We then identify all possible symptoms and risk factors of each possible cause, and check the ones that apply:

very low sperm count

very oily/sticky stools

fatty food intolerance

reduced mental clarity

mid-right abdominal discomfort

undigested fat in stools

severe fatigue after slight exertion

major joint pain/swelling/stiffness

anal itching

darker/redder skin color

diminished perspiration

gallbladder attacks
... and more than 40 others
Step 3: Rule Out or Confirm each Possible Cause
A differential diagnosis of your symptoms and risk factors finds the likely cause of elevated liver enzyme levels:
| Cause |
Probability |
Status |
| Hemochromatosis |
93% |
Confirm |
| Liver Congestion |
67% |
Possible |
* This is a simple example to illustrate the process
Arriving at a Correct Diagnosis
The Analyst™ is our online diagnosis tool that learns all about you through a straightforward process of multi-level questioning, providing diagnosis at the end.
Liver Enzymes. Are your liver enzymes elevated?
Possible responses:
→ Don't know
→ No (they are normal)
→ In the past only
→ Currently slightly
→ Current significantly
|
Based on your response to this question, which may indicate normal liver enzyme levels, history of elevated liver enzymes or elevated liver enzymes,
The Analyst™ will consider possibilities such as:
Hemochromatosis (Iron overload)
| A common early sign of progressive iron overload is symptom-free elevation of liver enzymes, which can be accompanied by recurrent right-sided abdominal pain and liver enlargement. Liver disease, which is present in as many as 95% of patients with iron overload, is the most common complication. |
... and also rule out issues such as: