Enhanced Liver
Fibrosis Check


The Enhanced Liver Fibrosis (ELF) Check is a non-invasive blood test to help identify early stage or significant liver disease which may not show up in normal liver function tests.

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Enhanced Liver Fibrosis Check

About this test

Liver disease has risen sharply over the past few decades and is now the third most common cause of premature death in the UK. Standard liver function tests often do not pick up the presence of liver disease (particularly in the early stages) and NICE now recommends the Enhanced Liver Fibrosis Check to screen for or monitor advanced liver fibrosis in people diagnosed with Non-Alcoholic Fatty Liver Disease (NAFLD). 

The Enhanced Liver Fibrosis (ELF) Check tests for three biomarkers which are used to calculate an ELF Score. This score can determine the presence and severity of liver fibrosis even in people with normal liver function. The markers used to produce the ELF Score include hyaluronic acid, procollagen III amino terminal peptide (PIIINP) and tissue inhibitor of metalloproteinase 1 (TIMP-1).  The benefits of this test are now recognised by NICE in the identification of early or significant liver disease and it provides a cost effective and non-invasive alternative to biopsy.

Who is this test for?

NICE recommend this test to screen for and monitor liver fibrosis in people diagnosed with NAFLD - one of the most prevalent forms of liver disease, particularly amongst the young and those with diabetes.

It is also used to identify the presence of fibrosis caused by hepatitis, metabolic syndrome, excessive alcohol consumption and smoking.

How it works

Collect Sample

We send you an easy-to-use kit to collect your blood sample.

Post Sample

Post your sample to our lab in the prepaid envelope provided.

View Results

View results securely in your own personal dashboard.

Important Information

Our tests are not a substitute for seeing your doctor, especially if you are suffering symptoms. Our doctors will interpret your results based on the information you have provided, but will not diagnose, consult or provide any treatment. You will be advised to see your doctor for any necessary follow-up action.

Tests Included

Blood sample collection kit

We will send you your Enhanced Liver Fibrosis Check blood sample collection kit together with the details of a convenient clinic where you can go and have your sample taken.

Postage & packaging

Your Enhanced Liver Fibrosis Check includes 1st class postage and packaging for you to send your blood sample directly to our laboratory for analysis. If you live in an area where you cannot rely on the post or you simply want to ensure that your sample arrives at the laboratory the following day, you may wish to send your blood sample guaranteed next day delivery for extra reassurance.

Private laboratory analysis

Your blood sample will be analysed at one of our chosen laboratories. You can be assured of fast, accurate results from one of our accredited independent providers of clinical diagnostic tests.

Interpretation of results

Our medical team will comment on out-of-range blood results and give you follow-up advice where necessary. If you need it, a PDF copy of your Enhanced Liver Fibrosis Check results can be downloaded for your doctor.

Secure online account with mymedichecks.com

Once you have placed your order you will receive login details to mymedichecks.com where you can manage your account, track your orders and view your Enhanced Liver Fibrosis Check results.

Health and Lifestyle tracker

Stay motivated by filling in your online health and lifestyle questionnaire and seeing how improvements in your lifestyle can influence your results. Your medical and family history gives us vital information when interpreting your results.

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