NDNS 65+ Abnormal Liver Function Tests
Prevalence of:        Plasma Alkaline Phosphatase >110 IU/L
                                           Plasma Gamma-Glutamyl Transferase >50/32 IU/L
•Abnormal LFTs in 10% - 30% of all UK adults
•
•Elevated Alk. Phosphatase  - cholestatic liver disease
- reduced excretion of:
Copper and Manganese
   and increased mortality
•
•Elevated Gamma GT
- often alcohol excess 
- obesity – NAFLD,  hepatitis
  and drug-induced
•
•Chronic Liver Disease:
- elevated plasma retinol
- deficiencies of :
  vitamins D, B,
- later vitamins A and K
- zinc
- iron accumulation