I also know of 3 people in my support group who are stage 4 and have normal ALT's consistently. You can also NOT know that you very well may be in Stage 0 or 1. But seriously, It s not about how I feel. I actually feel a bit depressed, have low energy, and trouble with joint problems, digestion, eyesight and neurosis. I might add most all of the symptoms are treatable naturally with the sole exception of fatigue.
Albumin is synthesized by the liver and secreted into the blood.
Low serum albumin concentrations indicate poor liver function. It is removed from the blood by the liver, chemically modified by a process call conjugation, secreted into the bile, passed into the intestine and to some extent reabsorbed from the intestine. Bilirubin concentrations are elevated in the blood either by increased production, decreased uptake by the liver, decreased conjugation, decreased secretion from the liver or blockage of the bile ducts. In cases of increased production, decreased liver uptake or decreased conjugation, the unconjugated or so-called indirect bilirubin will be primarily elevated. In cases of decreased secretion from the liver or bile duct obstruction, the conjugated or so-called direct bilirubin will be primarily elevated.