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THE PURSER WELLNESS REFERENCE

Understand your lab vocabulary.

205 approved laboratory references. Explore the exact ranges, units and context from Dr. Purser’s adult baseline.

15 entries

Liver, Pancreas, Protein Status, and Muscle Enzymes

Albumin — lab reference

Inflammation, hydration, liver synthesis, renal loss, and nutrition affect result.

Liver, Pancreas, Protein Status, and Muscle Enzymes

Albumin/globulin ratio — lab reference

Calculated; interpret component values.

Liver, Pancreas, Protein Status, and Muscle Enzymes

Alkaline phosphatase (ALP) — lab reference

Age, bone turnover, liver source, pregnancy, and isoenzymes affect interpretation.

Liver, Pancreas, Protein Status, and Muscle Enzymes

ALT — lab reference

Assay-specific. Healthy-population upper limits may be lower than many commercial ranges.

Liver, Pancreas, Protein Status, and Muscle Enzymes

Amylase — lab reference

Not pancreas-specific; interpret with lipase and clinical presentation.

Liver, Pancreas, Protein Status, and Muscle Enzymes

AST — lab reference

Muscle, liver, hemolysis, alcohol, exercise, and medication context matter.

Liver, Pancreas, Protein Status, and Muscle Enzymes

Bilirubin, direct — lab reference

Review direct and indirect fractions together.

Liver, Pancreas, Protein Status, and Muscle Enzymes

Bilirubin, total — lab reference

Fasting, Gilbert syndrome, hemolysis, and liver disease may alter result.

Liver, Pancreas, Protein Status, and Muscle Enzymes

Creatine kinase (CK) — lab reference

Exercise, muscle mass, sex, race, trauma, injections, and statins affect values.

Liver, Pancreas, Protein Status, and Muscle Enzymes

Gamma-glutamyl transferase (GGT) — lab reference

Alcohol, medications, metabolic disease, and cholestasis may elevate.

Liver, Pancreas, Protein Status, and Muscle Enzymes

Globulin — lab reference

Often calculated. Consider SPEP/IFE for unexplained abnormalities.

Liver, Pancreas, Protein Status, and Muscle Enzymes

LDH — lab reference

Broad tissue marker; hemolysis can cause false elevation.

Liver, Pancreas, Protein Status, and Muscle Enzymes

Lipase — lab reference

Assay-specific; diagnostic thresholds for pancreatitis are separate.

Liver, Pancreas, Protein Status, and Muscle Enzymes

Prealbumin — lab reference

Negative acute-phase reactant; not a stand-alone nutrition marker.

Liver, Pancreas, Protein Status, and Muscle Enzymes

Total protein — lab reference

Review albumin, globulin, and electrophoresis when indicated.

These pages adapt the Purser educational materials into plain language. They are educational summaries, not individualized assessments or a claim of independent medical review.