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Real members of myPBCteam have posted questions and answers that support our community guidelines, and should not be taken as medical advice. Looking for the latest medically reviewed content by doctors and experts? Visit our resource section.
A myPBCteam Member asked a question 💭
Scotland, AR
September 19, 2025
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A myPBCteam Member

Milz🙄

September 21, 2025
A myPBCteam Member

Ich habe Stadium 3 bis 4 beginnende Leberzirrhose mit Komplikationen Magen und Speiseröhren
Krampfadern vergrößerte Leber und Milz. MACHT MIR Angst

September 21, 2025
A myPBCteam Member

Hi, I have cirrhosis and my blood tests have been normal for a couple of years now. I was diagnosed late with PBC and AIH.

September 19, 2025
myPBCteam

Can liver tests be normal with cirrhosis in PBC?

While liver function tests are important tools for monitoring PBC, they need to be looked at as part of a complete picture. The key liver enzyme doctors look for is alkaline phosphatase (ALP), which should be at least 1.5 times higher than normal range to indicate PBC Show Full Answer

Can liver tests be normal with cirrhosis in PBC?

While liver function tests are important tools for monitoring PBC, they need to be looked at as part of a complete picture. The key liver enzyme doctors look for is alkaline phosphatase (ALP), which should be at least 1.5 times higher than normal range to indicate PBC. However, multiple tests are needed to assess liver health properly.

Here are the main tests doctors use to monitor liver function:
• Alkaline phosphatase (ALP)
• Alanine aminotransferase (ALT) and aspartate aminotransferase (AST)
• Albumin
• Bilirubin
• Gamma glutamyl transferase (GGT) To get the most accurate assessment of liver health and PBC progression, doctors typically use a combination of:
• Blood work to check liver enzymes
• Enhanced liver fibrosis (ELF) test to measure liver scarring
• Imaging tests like ultrasound or MRI
• FibroScan to measure liver stiffness and scarring

This comprehensive approach helps ensure nothing is missed, even if some individual test results appear normal.

September 19, 2025

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