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High ALP , GGT and Low HDL
Patient Consultation Summary Note
Lab Results:
ALP: 159 U/L (Elevated)
GGT: 128.8 U/L (Elevated)
HDL Cholesterol: 23.3 mg/dL (Low)
Fasting Glucose & Kidney Function: Normal
Relevant Lifestyle & History:
Habits: Regular alcohol intake and smoking (currently paused/moderating). High-stress work environment.
Supplements: Paused all non-essential supplements (protein, multivitamin, omega-3, garlic extract).
Diet & Routine: Following an Indian egg and vegetarian diet with a 12–14 hour overnight fasting window, moderate daily hydration (ginger-lemon water, chia seeds, walnuts), and a light walking/strength routine.
Core Questions for the Doctor:
Given my ALP (159) and GGT (128.8), what are the primary causes we should investigate, and do you recommend an abdominal ultrasound?
Which of my paused supplements (protein, multivitamin, omega-3, garlic extract) are safe to eventually resume, and are there any prescription medications or liver therapies needed
Answers (1)
Raised ALP and GGT together, alongside regular alcohol use and smoking, usually points to the liver, most often a fatty liver or alcohol-related change rather than a bile duct problem. Your low HDL fits the same picture, since heavy alcohol and smoking both pull HDL down. Normal fasting glucose and kidney function are reassuring.
Next Steps
An abdominal ultrasound is a reasonable next step to look at your liver directly. Ask your doctor about repeating ALP and GGT after some weeks off alcohol, and let the ultrasound guide which supplements are safe to resume.
Health Tips
Continuing alcohol and smoking in the meantime will likely keep these numbers elevated, so that's the first thing to change; please discuss the full picture with a physician or hepatologist.
Answered
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