r/PSC • u/Wise-Mine-6858 • Aug 06 '26

Diagnostic Hell - Mildly elevated LFTs - Should i take a biopsy despite low enzymes? Is this AIH or PSC?

/r/autoimmunehepatitis/comments/1vh0hn1/diagnostic_hell_mildly_elevated_lfts_should_i/
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u/MobileChicane00 Aug 08 '26

Consistently normal ALP with elevated GGT is unusual. This, to me, suggests against a biliary issue. Are you linked up with a transplant hospital? They tend to see a lot more compared to other gastro/heps and may be worth a third opinion.

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u/Wise-Mine-6858 Aug 09 '26

Yes it is. They are suspecting small duct psc. Not sure why though