UnitedMarkers

GGT

A liver enzyme sensitive to bile flow problems, alcohol and oxidative stress.

Typical reference range (male)3–70 U/L
Typical reference range (female)3–50 U/L
Commonly cited optimal rangebelow 25 U/L

Ranges vary by laboratory, method, age and sex: always use the range printed on your own report. Why labs differ.

What it measures

Gamma-glutamyl transferase sits on cell membranes, especially in the liver and bile ducts, and helps recycle glutathione, the body's main antioxidant.

Why it matters

GGT is a sensitive marker of liver and bile duct stress and confirms a liver source for elevated ALP. Even within the normal range, higher GGT is associated with alcohol intake, fatty liver, insulin resistance, cardiovascular disease and mortality.

What a high result can mean

Elevations occur with alcohol use, fatty liver disease, bile duct obstruction, hepatitis and enzyme-inducing medications (phenytoin, carbamazepine, barbiturates). Obesity, smoking and diabetes are also associated with higher values.

What a low result can mean

Low GGT is not a concern and generally indicates low oxidative and alcohol-related stress.

What affects the result

GGT responds to alcohol within weeks and falls over 2-4 weeks of abstinence, so it is used to monitor drinking. Weight loss and reducing alcohol lower it. Interpret alongside ALT, AST and ALP.

Units and conversion

Usually reported in U/L.

More about lab units

Also called on lab reports

Gamma-Glutamyl Transferase, Gamma Glutamyl Transferase, Gamma-Glutamyltransferase, GGTP, Gamma GT, Gamma-Glutamyl Transpeptidase

Related tests: Liver

This page is educational and does not replace advice from a healthcare professional.