A member asked:

Please can you list rare causes of chronic alt^,not meds,hep,wilson's,addisons,hemachr. unusual but suspected causes please?

A doctor has provided 1 answer

May never find it: I trust autoimmune hepatitis has been ruled out as well with appropriate labs. If your SGOT/AST is normal, you may simply be one of these folks who runs a high SGPT/ALT. People vary. If both are still up, and you've tried two weeks off all meds (including the ones you've listed, & any herbals), you may simply have metabolic syndrome &/or your liver telling you to hit the gym harder.

Answered 5/29/2014

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