The first liver clue was high ALP/GGT. I have classic "itching" that comes with bile backup into the blood. I've had an abdominal ultrasound to check liver/gallbladder followed by an MRCP(MRI) for my entire abdomen. My biliary tract is dilated to 17 mm from the "tree" in the liver to the ampulla next to the small intestine. Layers of stones are discernible in the gallbladder and "sludge" i.e. cholelithiasis is observable in the gallbladder and biliary duct. I've clearly had some bile obstruction with clay colored stools and fats floating in the toilet bowl (TMI). The bile isn't getting delivered properly. I'm not anxious to have my gallbladder removed as the long term changes to bowel function are not very pleasant. I am eager to fix the itching. It disturbs my sleep more than the apnea. The elevated ALP goes hand-in-hand with back up bile going into the bloodstream. ALP targets cleanup of the bile that went the wrong way.
A family member was ultrasounded and they saw it was filled with sludge.
I found that either TUDCA, or perhaps better, Jarrow’s Bile Acid Factors, which worked in a few months. A follow up showed it was all gone.
Do you eat fat, or are you on low fat diet?