The quantities of certain elements normally found in the blood when considered together make up a "liver count." A high liver count (for example elevated GOT, GPT or gamma-GT) is not always an indication of liver disease. The underlying cause is not always viral hepatitis, a tumor, an autoimmune disorder or alcohol abuse. Further, if something interfere's with bile secretion (like a liver disorder) it will be noticeable by symptoms such as colic and a change in stool color. In general, if your doctor has noticed that your liver count is elevated, you should have it checked every few months. In order to rule out the possibility of disease, more extensive tests are necessary. If these results are also negative, you can set your mind at rest. Nevertheless, regular check-ups are always worthwhile. Good luck.