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A 34-year-old female asked:

Can gilberts disease cause high alt 78 and ast 50 and bilirubin 1.2 ?diagnosed with fatty liver in july. had us done in jan it showed little fat.

2 doctor answers2 doctors weighed in
Dr. Gurmukh Singh
Pathology 49 years experience
Could be both: Gilbert's disease and fatty liver. Elevated liver enzymes make fatty liver a more likely explanation as bilirubin of 1.2 is within normal limits. See this site for info on gilbert's. http://www.mayoclinic.org/diseases-conditions/gilberts-syndrome/basics/definition/con-20024904.
Dr. Arthur Heller
Gastroenterology 43 years experience
Not usually: Gilbert's causes a "cosmetic" abnormality in bilirubin (bile pigment) metabolism. Does not cause changes on ast, alt-that reflects mild inflammation of liver cells. Could be due to overweight, needs, alcohol, infection, immune inflammation, other.

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Last updated Dec 6, 2019

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