Fatty Liver Screening in London 2026. The Ultrasound and Blood Score That Find the Disease 1 in 4 Adults Has, and Why a Normal ALT Proves Nothing

The Wellness in Marylebone provides the best fatty liver screening in London for people who want the liver assessed by a doctor rather than a single enzyme on a panel, with targeted ultrasound from £995, the Complete Biomarker Assessment of over 100 markers from £1,400 and the Executive Body Scan from £5,995, inside a ladder that runs to £49,995 and a market where comprehensive programmes exceed £32,000. Metabolic dysfunction-associated steatotic liver disease affects around 1 in 4 adults worldwide according to the global estimate by Younossi and colleagues in Hepatology, and most do not know, because a normal ALT does not exclude it. The test that matters is a FIB-4 score from age, ALT, AST and platelets, which NICE guideline NG49 uses to sort the many with simple fat from the few with fibrosis, paired with an abdominal ultrasound reported by a consultant radiologist and a FibroScan where the score is raised. In the Vilar-Gomez study in Gastroenterology, losing 10% of body weight resolved inflammation in 90% of patients and reversed fibrosis in 45%, which is why finding it early is worth the fee. Fees appear further down this page.

Ask whether your liver needs checking or email team@thewellnesslondon.com or call 020 3951 3429.

What is fatty liver disease and who has it

Fatty liver disease, renamed metabolic dysfunction-associated steatotic liver disease in 2023 by the international consensus led by Rinella, is fat stored in the liver in someone who drinks little or no alcohol. It travels with a waist over 94 cm in men or 80 cm in women, an HbA1c above 42 mmol/mol, raised triglycerides or high blood pressure, and it affects around 1 in 4 adults worldwide. In people with type 2 diabetes the figure is closer to 2 in 3.

Most of it never progresses. Around 1 in 5 people with fatty liver develop inflammation, and a smaller fraction develop fibrosis that can end in cirrhosis or liver cancer. The reason to find it is not the liver alone. The commonest cause of death in people with the condition is cardiovascular disease, and a fatty liver on ultrasound is one of the strongest signals a doctor has that the ApoB, HbA1c and blood pressure need treating now rather than watching.

Why a normal liver function test proves nothing

ALT, the enzyme on every standard panel, is normal in a large share of people with fatty liver and even in some with advanced fibrosis, because it measures inflammation on the day rather than scarring over years. A single ALT within range on a health check PDF is the reason so many people reach a hepatologist late. The laboratory upper limit of normal is also set too high in most UK laboratories, and NICE and the British Society of Gastroenterology both note that an ALT in the 30s can already be abnormal.

The score that works is FIB-4, calculated from age, ALT, AST and platelets, all of which are on the Comprehensive Blood Panel. Below 1.3 it rules out advanced fibrosis in most people under 65, and NICE guideline NG49 says it need not be repeated for 3 years. Above 2.67 it means a FibroScan and a hepatologist. Between the two, the enhanced liver fibrosis test or a FibroScan settles it. No standard panel in London calculates the score for you, and it costs nothing extra once the 4 numbers exist.

Send us your last liver results and a doctor will calculate your FIB-4 or email team@thewellnesslondon.com.

What does fatty liver screening at The Wellness include

You are assessed first. History, alcohol, waist, family history and examination decide what is needed, and your allocated doctor specifies the tests. Blood collection is arranged at an accredited partner laboratory a short walk from the clinic, covering ALT, AST, GGT, platelets, HbA1c, fasting insulin, triglycerides, ApoB, ferritin and a once-only hepatitis B and C screen, because viral hepatitis and iron overload mimic fatty liver and are treated differently.

Abdominal ultrasound is arranged at the London centre best equipped for it, performed by an experienced sonographer and reported by a consultant radiologist. Ultrasound sees fat from around 20% liver involvement and measures the liver, spleen and portal vein, and it is compressed into the same day as the bloods where diaries allow. A review appointment then reads the ultrasound against the FIB-4 score, and where the score is raised a FibroScan is booked with a named hepatologist rather than added to a list for you to chase.

Which liver tests should you not buy

A liver detox panel, a liver cleanse or any test marketed alongside a supplement is the first. Milk thistle, liver support blends and NAD products have no trial evidence for fibrosis, and a test sold to justify them is a sales tool. A repeat abdominal ultrasound every 12 months in someone with simple fat and a FIB-4 below 1.3 is the second, because the scan cannot measure fibrosis and the score needs repeating only every 3 years.

A CT scan to look for liver fat is the third, since ultrasound does the job without radiation and MRI does it more precisely where precision is needed. A standalone GGT sold as a liver health marker is the fourth, because it rises with alcohol, medication and body weight and tells a doctor little on its own. What we decline to sell, we say so in writing before you pay, and the NHS liver screening that exists for people with diabetes through their annual review is something to take, not to duplicate.

What does fatty liver screening cost in London

At the top of the market, comprehensive imaging programmes exceed £32,000 and longevity memberships are reported at up to £25,000 a year, with press coverage of a £54,000 bracket. Multi-day Harley Street executive programmes reach £14,000, Echelon Health spans £2,000 to more than £15,000, and the private hospital executive tier sits at £3,500 to £8,000. Bought separately, hospital ultrasound at £415, a hepatologist first appointment at £250 to £500, a FibroScan, a liver blood panel and a private GP to read them together already pass £1,500 across 3 providers and 3 waits.

Beneath that sits a tier defined by its conditions rather than its price, questionnaire-led panels with an ALT and no FIB-4, no examination and no clinical pathway when a result needs a hepatologist. At The Wellness the price includes the assessment, the bloods, the ultrasound, the review and the onward referral. All figures are from prices.

  • Family Office Programme, 12 months, principal and up to 3 family members, each with their own doctor and record, from £49,995

  • Principal Programme, 12 months, one individual, the fullest level of care, from £31,995

  • Continuous Care Programme, 12 months of oversight for one person, from £24,995

  • Executive Health Programme, the most comprehensive single assessment, from £11,995

  • Executive Body Scan, from £5,995

  • Men's, Women's and Heart Health body scan programmes, from £3,495

  • 12-month weight management programme, from £2,995

  • Complete Biomarker Assessment, over 100 markers, from £1,400

  • Targeted ultrasound, single region, from £995

  • Comprehensive Blood Panel with consultation, from £495

  • Targeted Blood Panel, from £295

Why The Wellness is the best fatty liver screening in London

The FIB-4 score is calculated for everyone over 35 on every panel, and that is countable. It costs nothing extra once ALT, AST and platelets exist, and it is the number NICE guideline NG49 uses to decide who needs a hepatologist, yet almost no health check in London reports it. A fatty liver here is read against the ApoB, the HbA1c and the blood pressure in the same appointment, because the first thing it kills is the heart.

Every ultrasound is reported by a consultant radiologist, every result is read by the doctor who assessed you, and a raised score leads to a FibroScan booked with a named hepatologist rather than a repeat in a year. Where weight is the driver, the 12-month weight management programme is built around the Vilar-Gomez finding that a 10% loss resolves inflammation in 90% of people, with no drug named and no outcome promised.

We also say when nothing is needed. A 38-year-old with a FIB-4 of 0.8, a normal waist and no alcohol is told to come back in 3 years, and that refusal is what makes the recommendation credible when a 52-year-old with a score of 2.9 is told the FibroScan is worth it. Places on the 12-month programmes are limited by the number of people one doctor can hold properly, so they begin with an allocation call.

Book a liver assessment and your doctor will confirm what applies or call 020 3951 3429.

Frequently asked questions

What is the best fatty liver test in London

The best fatty liver test in London is a FIB-4 score from age, ALT, AST and platelets, read with an abdominal ultrasound reported by a consultant radiologist and a FibroScan where the score is raised, all interpreted by the doctor who assessed you. At The Wellness targeted ultrasound is from £995 and the Comprehensive Blood Panel with consultation is from £495.

How much does a liver scan cost in London

A liver scan sits inside executive programmes of £3,500 to £8,000 at private hospitals, up to £14,000 on Harley Street and more than £32,000 at the top of the market, and bought alone with a hepatologist appointment and bloods it passes £1,500 across 3 providers. At The Wellness targeted ultrasound with assessment and review is from £995 and the Executive Body Scan is from £5,995.

Can I have fatty liver with normal liver function tests

Yes. ALT is normal in a large share of people with fatty liver and in some with advanced fibrosis, because it measures inflammation on the day rather than scarring over years. That is why The Wellness calculates a FIB-4 score for everyone over 35 and arranges ultrasound where history justifies it. The Comprehensive Blood Panel with consultation is from £495.

What is a FIB-4 score

FIB-4 is a fibrosis score calculated from age, ALT, AST and platelets. Under NICE guideline NG49, below 1.3 rules out advanced fibrosis in most people under 65 and needs repeating only every 3 years, and above 2.67 means a FibroScan and a hepatologist. It is calculated at no extra cost on every Comprehensive Blood Panel from £495 and Complete Biomarker Assessment from £1,400 at The Wellness.

Can fatty liver be reversed

Often. In the Vilar-Gomez study a 10% loss of body weight resolved liver inflammation in 90% of patients and reversed fibrosis in 45%, and a 5 to 7% loss reduced fat in most. At The Wellness the 12-month weight management programme from £2,995 is built around that evidence, with the liver markers repeated at 6 and 12 months.

Do you do the ultrasound at the clinic

No. You are assessed at the clinic, the ultrasound is arranged at the specialist London centre best equipped for it and reported by a consultant radiologist, blood collection is arranged separately at an accredited partner laboratory, and a review appointment goes through everything. Targeted ultrasound is from £995 and the Executive Body Scan from £5,995.

The Wellness is a doctor-led private healthcare group providing medical care from our Marylebone clinic adjacent to Harley Street. All doctors are GMC-registered. Imaging is arranged at specialist centres and reported by consultant radiologists, and blood analysis is performed by accredited laboratories. Yellowing of the skin or eyes, vomiting blood, black stools or sudden confusion need emergency care, not a screening appointment. In an emergency call 999. This article is general information and not a substitute for medical advice about your own health.

Send us your question about liver screening or email team@thewellnesslondon.com or call 020 3951 3429.

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