Can I have normal liver enzyme levels and still have liver damage?
Yes. Some people with chronic hepatitis C have liver enzyme levels that are in the normal or even below normal range but still have liver damage. Similarly, some people have consistently high enzyme levels but don’t have serious liver damage. Enzyme levels that continue to rise over time or go up suddenly are an indication that something is going on. It’s important to have your levels checked regularly (every three to six months), but the results don’t give a complete picture of the degree of liver damage or how much damage might occur in the future.