Question: Hi, I'm currently being evaluated for hepatic dysfunction. Liver enzymes and ammonia are both elevated. I'm being referred for a liver biopsy. In the meantime, I'm trying to clear up some confusion.

My gastroenterologist stated that she has only seen elevated ammonia levels once the liver has reached cirrhosis stage. However, just two months ago, my liver enzymes were completely normal. Is it possible that I have cirrhosis but just two months ago, my blood results were normal? I know that the liver biopsy will tell me what I need to know but I'm worried and having trouble waiting. It just seems like if I was already nearing cirrhosis levels, my enzymes would have been elevated two months ago?

I'd be interested to hear of known cases of elevated ammonia levels in liver disease that has not reached the point of cirrhosis.

Thank you.