 [ Symptoms ] osteoarthritis i have arthritis in my knees the last two days the pain radiates up my thighs to my hips and down my calves to my feet is this common  42yo female moderately active normal weight and bmi [ 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