Liver Information for Turner Syndrome

Liver Information


According to the TS Clinical Practice Guidelines authors, they recommend:


  • monitoring liver function tests (including AST, ALT, GGT, and alkaline phosphatase) yearly throughout the lifespan, starting at age 10 years.  

    • Liver test abnormalities are common and often have no related symptoms but increase by age.

    • High liver enzymes tend to persist or progressively increase and rarely revert to normal yet few progress to life-threatening complications.

    • Risk of cirrhosis is sixfold more than the general population.


  • appropriate timing for the initiation of female hormone replacement therapy (estrogen/ ERT) for improvement of liver function.


Gastroenterologists are specialists that focus on the digestive organs and liver.


A hepatologist is a specialist focused exclusively on the liver.

The following video focuses on general liver health.  All information for your liver health should be discussed with your personal doctor.



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Clinical Practice Guidelines for Turner Syndrome
Patient and Family version of Turner Syndrome Guidelines
Turner Syndrome know your Body book