ELF score (liver fibrosis)

Liver · also printed as ELF, Enhanced liver fibrosis, ELF test, ELF score, Enhanced liver fibrosis score

Typical UK adult rangebelow 9.8 score

Below 9.8 is the threshold UK guidance prints for the general population; 10.51 is used in some clinics.

What this test measures

The Enhanced Liver Fibrosis score combines three blood proteins involved in scarring into one number that estimates how much scar tissue is in the liver.

Why doctors request it

UK guidance uses it in fatty liver disease to decide who needs specialist referral; hepatology clinics use it to follow scarring over time.

What commonly pushes it up

Increasing liver scarring
Increasing age
Heavy alcohol
Inflammation anywhere in the body, slightly

What commonly pushes it down

Treatment of the underlying liver condition
Weight loss in fatty liver

Everyday reasons for a value outside the range

It is a calculated score with no unit
Age raises it a little in the general population

About the sample

No fasting needed. Read by the requesting doctor alongside scan results.

Written by a UK consultant physician. Typical UK adult reference ranges; your laboratory's own printed range takes precedence.

Got a report with ELF score (liver fibrosis) on it?

Upload a photo or PDF and see every line against the range your lab printed, explained in plain English. First report free.

Read my report free

This is an educational summary of results you uploaded. It is not medical advice, a diagnosis or a treatment plan, and it does not replace the doctor who requested the test. If you are worried, or a result is marked outside range, discuss it with your doctor. Written and reviewed by a UK consultant physician. Reference ranges vary between laboratories.