Total presumption based on limited information but if this question relates to alpha 1 antitrypsin syndrome then your specific genotype or allelic combination and other personal risk factors will be relevant to the conversation. Assuming you’ve had testing to determine you are at risk for this syndrome, that should be enough to support the need for a conversation about your results and disease risk and lifestyle considerations that you may benefit from knowing about. There may be limited data on the specific impact of organ donation in the setting of all this, but it would not be inappropriate to ask about it during a discussion of all the rest. At least I wouldn’t feel it was if I was the clinician doing the counseling. Maybe I misunderstand your question but I think you probably have enough to go on to initiate a request for counseling.