Liver → Albumin & Clotting Factors → Fluid Balance & Bleeding
The biology
The liver is the body's protein factory. It makes albumin (keeps fluid in vessels) and most clotting factors. When the liver is damaged, both fall — fluid leaks into tissues and clotting slows.
What this means
A low albumin with a prolonged PT in someone with raised ALT is a warning sign of advancing liver disease.
Advice
Stop alcohol completely. Eat enough protein. Avoid unnecessary paracetamol and herbal supplements. See your GP for hepatitis screening and ultrasound.
Tests in this chain