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Is glucose central to the three great epidemics; obesity, diabetes, and non-alcoholic fatty liver?
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<blockquote data-quote="Southport GP" data-source="post: 1026659" data-attributes="member: 74036"><p>This is not national policy and I am puzzled as to why he might do this ?</p><p></p><p>Certainly in my own practice 24% of liver function tests done come back as abnormal.</p><p>If the only result of these tests is to confuse and worry patients while frightening GPs into doing many unnecessary and expensive gastroenterology referrals then there is little point in doing them. However many patients appreciate these test results as an early warning and as a result make lifestyle improvement to have fewer carbs or alcohol </p><p>Sometimes a raised GGT result is a distress signal from a liver unable to cope with some medications so it would be a shame not to heed this warning .</p><p>Sometimes I never find the cause of the abnormal test.</p><p></p><p>Finally we GPs are independent practitioners so can usually ask for any blood tests we think are important for the care of our patients.</p><p></p><p>Cheers D.</p></blockquote><p></p>
[QUOTE="Southport GP, post: 1026659, member: 74036"] This is not national policy and I am puzzled as to why he might do this ? Certainly in my own practice 24% of liver function tests done come back as abnormal. If the only result of these tests is to confuse and worry patients while frightening GPs into doing many unnecessary and expensive gastroenterology referrals then there is little point in doing them. However many patients appreciate these test results as an early warning and as a result make lifestyle improvement to have fewer carbs or alcohol Sometimes a raised GGT result is a distress signal from a liver unable to cope with some medications so it would be a shame not to heed this warning . Sometimes I never find the cause of the abnormal test. Finally we GPs are independent practitioners so can usually ask for any blood tests we think are important for the care of our patients. Cheers D. [/QUOTE]
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Is glucose central to the three great epidemics; obesity, diabetes, and non-alcoholic fatty liver?
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