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American Liver & Metabolic Center

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Understanding Your ALMC Liver Health Score: A Complete Guide

Learn how to interpret your Advanced Liver & Metabolic Care (ALMC) 10-point assessment results and what each component means for your health journey.

Written by Dr. Taras Halan, MD
Medically Reviewed
15 min read
Updated January 10, 2025
4.9 rating
0% complete

What You'll Learn

  • • How to read and interpret your ALMC 10-point score components
  • • What different score ranges mean for your health
  • • Actionable steps to improve your results
  • • When to seek professional medical advice

What is the ALMC Liver Health Score?

The ALMC Liver Health Score is a precision 10-point assessment system that evaluates your liver health and metabolic function across four critical domains. This evidence-based scoring system provides a comprehensive evaluation that goes beyond traditional single-marker tests to give you a complete picture of your liver and metabolic health status.

Developed by leading hepatologists and metabolic specialists, this 10-point system (scored to one decimal place, e.g., 6.7) combines metabolic risk factors, alcohol consumption patterns, blood test results, and imaging findings to create a personalized health profile with color-coded risk stratification that guides treatment and prevention strategies.

ALMC Liver Health Score 10 - Component Allocation
Total = 10 points across four critical domains

1) Metabolic Domain - max 3.0 points

Emphasizes BMI ≥30, diabetes, and CVD

  • • BMI ≥ 30 → 1.0 point
  • • Type 2 diabetes → 1.0 point
  • • Cardiovascular disease (MI, stroke, PVD) → 0.5 point
  • • Hypertension OR hyperlipidemia → 0.5 point

2) Alcohol Consumption - max 2.0 points

  • • None → 0.0 points
  • • Moderate (>0 and ≤14/wk men or ≤7/wk women) → 0.5 points
  • • Increased (>14/wk men or >7/wk women) → 2.0 points

3) Blood Tests - max 2.0 points

Elevated ALT and FIB-4

  • • ALT Normal → 0.0, Elevated → 0.8 points
  • • FIB-4 <1.3 → 0.0 points
  • • FIB-4 1.3-2.67 → 0.6 points
  • • FIB-4 >2.67 → 1.2 points

4) Elastography (Imaging) - max 3.0 points

Steatosis + fibrosis; fibrosis dominates

  • • Steatosis: S0→0.0, S1→0.2, S2→0.35, S3→0.5
  • • Fibrosis: F0→0.0, F1→0.5, F2→1.0, F3→1.8, F4→2.5

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Liver Health Score Risk Zones: Color-Coded Results Explained

Your ALMC Liver Health Score ranges from 0 to 10.0 points, with higher scores indicating greater risk. The score is rounded to one decimal place (e.g., 6.7) and categorized into color-coded risk zones:

Green (Low Risk): 0 - 3

Your liver and metabolic health indicators suggest minimal liver concerns. Focus on prevention and healthy lifestyle maintenance with regular monitoring.

Recommendation: Gold Membership / Platinum at patient's discretion

Orange (Moderate Risk): 4 - 7

Multiple risk factors indicate moderate risk for liver disease progression. Early intervention recommended with lifestyle changes to prevent advancement.

Recommendation: Platinum Membership recommended

Red (High Risk): 8 - 10

High risk profile indicates significant liver health concerns requiring immediate medical attention. Comprehensive treatment plan required for multiple risk factors present.

Recommendation: Platinum Membership recommended

Final Score Calculation

ALMC-10 = Metabolic (0-3) + Alcohol (0-2) + Blood tests (0-2) + Elastography (0-3)

The final score is rounded to one decimal place and provides precise risk stratification for personalized treatment recommendations.

Liver Function Test Components: Breaking Down Your Results

Laboratory Markers

Your blood work provides crucial insights into liver function and metabolic health:

Key Liver Enzymes:

  • ALT (Alanine Aminotransferase): Normal: 7-56 U/L. Elevated levels may indicate liver cell damage.
  • AST (Aspartate Aminotransferase): Normal: 10-40 U/L. Higher than ALT may suggest alcohol-related liver damage.
  • Bilirubin: Normal: 0.1-1.2 mg/dL. Elevated levels can indicate liver dysfunction or bile duct problems.
  • Albumin: Normal: 3.5-5.0 g/dL. Low levels may indicate decreased liver protein production.

Physical Assessment

Physical measurements help assess metabolic risk and overall health status:

BMI Categories
Underweight: <18.5
Normal: 18.5-24.9
Overweight: 25-29.9
Obese: ≥30
Waist Circumference Risk
Men: >40 inches (high risk)
Women: >35 inches (high risk)
Associated with metabolic syndrome
Predictor of liver fat accumulation

Lifestyle Factors

Your daily habits significantly impact your ALMC 10-point score:

Diet Quality Assessment

Based on Mediterranean diet principles, anti-inflammatory foods, and liver-friendly nutrients.

  • • Vegetable and fruit intake frequency
  • • Whole grain vs. refined carbohydrate ratio
  • • Healthy fat sources (omega-3, olive oil)
  • • Processed food and sugar consumption
  • • Alcohol intake patterns

Exercise Assessment

Physical activity directly impacts liver health and insulin sensitivity.

  • • Aerobic exercise frequency and intensity
  • • Resistance training participation
  • • Daily movement and step count
  • • Sedentary behavior patterns

How to Improve Your Liver Health Score

Based on your score and individual component results, here are evidence-based strategies to improve your liver and metabolic health:

Immediate Actions (0-30 days)
• Eliminate processed foods and added sugars
• Start 30-minute daily walks
• Increase water intake to 8-10 glasses daily
• Establish consistent sleep schedule
• Reduce alcohol consumption
• Schedule follow-up with healthcare provider
Long-term Strategies (1-6 months)
• Adopt Mediterranean-style eating pattern
• Build progressive exercise routine
• Implement stress management techniques
• Optimize sleep quality and duration
• Consider targeted supplementation
• Regular monitoring and adjustments

When to Seek Professional Help

  • • ALMC Score of 8 or higher (High Risk category)
  • • Persistent elevation in liver enzymes
  • • Symptoms like fatigue, abdominal pain, or jaundice
  • • Family history of liver disease
  • • Difficulty implementing lifestyle changes alone

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Liver Health Monitoring: Tracking Your Progress

Regular monitoring is essential for tracking improvements and maintaining optimal liver and metabolic health:

Recommended Testing Schedule

Excellent Score (80-100)

  • • Annual comprehensive assessment
  • • Quarterly lifestyle check-ins
  • • Maintain preventive measures

Good Score (60-79)

  • • 6-month follow-up testing
  • • Monthly progress tracking
  • • Focus on improvement areas

At-Risk Score (<60)

  • • 3-month comprehensive retest
  • • Weekly lifestyle monitoring
  • • Professional guidance recommended

Liver Health Score FAQ: Frequently Asked Questions

Can my ALMC 10-point score improve quickly?

While some improvements can be seen within 4-6 weeks (especially in lifestyle factors), significant changes in laboratory markers typically take 3-6 months of consistent healthy habits.

What if my score gets worse over time?

A declining score indicates the need for immediate lifestyle intervention or medical evaluation. Contact your healthcare provider to discuss potential underlying causes and treatment options.

Are there medications that can improve my score?

While lifestyle changes are the foundation, certain medications may be appropriate for specific conditions. Your healthcare provider can determine if medications like metformin, statins, or liver-protective agents are right for you.

Conclusion: Your ALMC Score Is a Roadmap to Better Health

The ALMC 10-Point Scoring System represents a comprehensive, evidence-based approach to understanding your liver and metabolic health that goes far beyond simple blood tests. By evaluating multiple domains - including metabolic markers, alcohol consumption patterns, laboratory values, and elastography findings - this scoring system provides a complete picture of your liver's current status and future risk trajectory. Unlike fragmented assessments that look at individual markers in isolation, the ALMC score integrates all relevant factors to give you a single, actionable number that guides both immediate interventions and long-term health strategies. This holistic approach reflects the interconnected nature of liver health, where metabolic dysfunction, lifestyle factors, and cellular damage all influence each other in complex ways that require comprehensive evaluation to fully understand and address effectively. The precision of this four-domain assessment ensures that no aspect of your liver health goes unexamined.

Understanding your score empowers you to take targeted action where it matters most. A high score in the metabolic domain might indicate the need for dietary changes and increased physical activity, while elevated alcohol-related points suggest the importance of reducing or eliminating alcohol consumption. The beauty of this system lies in its specificity - rather than vague recommendations to "be healthier," your ALMC score breakdown identifies exactly which factors are contributing to your risk and which interventions will have the greatest impact on your liver health outcomes. This precision allows you to focus your efforts efficiently and track meaningful progress over time. Each domain of the scoring system corresponds to specific, evidence-based interventions that have been proven to improve liver health outcomes, giving you a clear roadmap for improvement rather than generic advice that may or may not apply to your unique situation.

Regular monitoring of your ALMC score creates accountability and motivation for sustained lifestyle improvements. Most patients see measurable improvements within 3-6 months of implementing recommended changes, with some factors like liver enzymes and inflammatory markers responding even faster. The goal isn't perfection but rather consistent progress toward optimal liver and metabolic health. Whether you're starting with a concerning score that requires immediate attention or simply want to optimize an already good score, the ALMC assessment provides the baseline data and ongoing tracking you need to succeed. The scoring system also helps identify when more aggressive interventions may be necessary, ensuring that patients who need specialized treatment receive it promptly rather than waiting until their condition has progressed to more advanced stages.

At the American Liver and Metabolic Center, we developed the ALMC scoring system specifically to address the limitations of traditional liver health assessment. Our comprehensive evaluation combines advanced diagnostic technologies including FibroScan elastography with deep clinical expertise to provide you with the most accurate and actionable assessment available. The same-day results and personalized treatment recommendations eliminate the uncertainty and delays that characterize traditional healthcare approaches. Take the first step today by getting your comprehensive assessment - knowledge is the foundation of transformation, and your ALMC score provides the detailed insights you need to protect your liver health for years to come. Our expert team is ready to guide you through every step of your liver health journey.

Get Your Complete ALMC Assessment Today

Understanding your ALMC 10-point score is the first step toward better liver health. Our comprehensive assessment provides same-day results with expert interpretation and a personalized improvement plan.

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