🫀 Fatty Liver & Liver Health

For everyone · 8 markers · $291.15 with code CAMERON $323.50

Raised liver enzymes on a routine panel, a fatty liver mentioned on a scan, heavy drinking, oral compounds, or metabolic syndrome.

🩸 Order this exact panel — 10% off

All 8 markers load into your cart in one click. No doctor's visit, drawn at any Quest location in the US, results by email in about two weeks. Code CAMERON applies automatically.

Add all 8 markers — $291.15 → Open the full Bloodwork Vault →

Why this panel

Fatty liver is now the most common liver disease in the world and it is largely silent. Enzymes alone can't tell you whether there's scarring — which is the only part that really determines outcome.

💡 What most people missLiver enzymes tell you there's irritation; they do not tell you whether there's fibrosis, and fibrosis is the thing that matters. People with completely normal ALT can have significant scarring, and people with mildly raised ALT often have none. That's what the ELF test is for — it estimates fibrosis directly from blood, which is why it's the expensive marker here and why it's worth it. Two traps to avoid: hard training raises AST and ALT from muscle, not liver, so test rested; and fatty liver is fundamentally a metabolic disease, which is why insulin and HbA1c are on a liver panel at all — treating the metabolic driver is how the liver actually improves.
⏰ When to get it drawnFast 9–12 hours. No alcohol for 72 hours and no hard training for 72 hours — both distort enzymes badly enough to change your interpretation.

The 8 markers — and why each one is here

Comprehensive Metabolic Panel (CMP) $9.00
ALT, AST, ALP, bilirubin, albumin — the baseline
Enhanced Liver Fibrosis (ELF) Test $250.00
Estimates scarring, which enzymes cannot
Ferritin $9.00
High ferritin with fatty liver suggests iron overload
Insulin (Fasting) $10.00
Fatty liver is a metabolic disease before it is a liver disease
HbA1c (Hemoglobin A1c) $9.00
The metabolic driver, measured over three months
Lipid Panel $9.00
Triglycerides track directly with liver fat
Complete Blood Count (CBC) w/ Differential $9.00
Falling platelets is an early sign of advanced liver disease
hs-CRP (C-Reactive Protein, High Sensitivity) $18.50
Inflammatory load
✓ How to read the resultsEnzymes above 3× the upper limit that persist when rested and sober need a doctor. A raised ELF score warrants hepatology referral. Normal ELF with mildly raised enzymes and high insulin is the common picture, and it's reversible with weight and metabolic change.
🔒 The Fatty Liver protocol is inside the Academy

Ordering the panel tells you your numbers. The protocol tells you what to do with them — why a normal ALT doesn't rule it out, the free FIB-4 score you can calculate from labs you already have, and the weight-loss thresholds where fibrosis actually reverses.

Join the Academy — $10/mo →

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Frequently asked questions

What blood tests are in the Fatty Liver & Liver Health panel?

8 markers: Comprehensive Metabolic Panel (CMP), Enhanced Liver Fibrosis (ELF) Test, Ferritin, Insulin (Fasting), HbA1c (Hemoglobin A1c), Lipid Panel, Complete Blood Count (CBC) w/ Differential, hs-CRP (C-Reactive Protein, High Sensitivity).

How much does the Fatty Liver & Liver Health panel cost?

$323.50 before discount, $291.15 with code CAMERON applied automatically. Individual markers add a one-time $10 draw fee. Ordered through Marek Diagnostics and drawn at any Quest Diagnostics location in the US.

Do I need a doctor's order for these tests?

No. These are ordered direct-to-consumer through Marek Diagnostics — you order online, walk into a Quest location, and results are emailed to you in about two weeks. No physician visit or insurance required. Not available in NY, NJ or RI.

When should I get the Fatty Liver & Liver Health panel drawn?

Fast 9–12 hours. No alcohol for 72 hours and no hard training for 72 hours — both distort enzymes badly enough to change your interpretation.

How do I interpret Fatty Liver & Liver Health results?

Enzymes above 3× the upper limit that persist when rested and sober need a doctor. A raised ELF score warrants hepatology referral. Normal ELF with mildly raised enzymes and high insulin is the common picture, and it's reversible with weight and metabolic change.

Important: This page is education only, not medical advice and not a diagnosis. A panel is a starting point for a conversation with a clinician, not a substitute for one. Reference ranges vary by laboratory and assay — always compare against the range printed on your own report.