 [ Symptoms ] my father had liver transplant enzymes are increasing highly [ Disease ] com ggt is usually elevated in liver transplant recipients that experience good outcomes these paradoxical findings may be explained by the time dependent role of ggt in glutathione metabolism immediate postoperative elevation of ggt may indicate a physiological systemic response while chronic elevation reflects a pathological response alk p enzyme is commonly increased after liver transplant recipients which is normal and research suggests no need for regular analysis of it post transplantation