A 29-year-old male asked:
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Liver ALT ELEVATED -MRCP and Fibroscan nrml.no hep,drugs,alcohol,not fat, wilsons autoimmune etc what could it be? ~2xULN all common things checked.

1 doctor answer
Dr. Kristel Hunt
22 years experience in Hepatology
AST is normal?: so ALT elevation is the only abnormality? with all negative workup to date? NASH still most likely, even if you're not overweight. if your waist-to-hip ratio is more than 0.8, would consider trying to lose 5-10lbs and see if normalizes. if not, a biopsy may be in order.
Answered on Aug 16, 2014
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Dr. Kristel Hunt
22 years experience in Hepatology
Provided original answer
Dear 'scared of biopsy', totally understand. your AST is not normal either - both should really be in teens, low 20s. the lab range as Dr Roschmann discussed above already contains a whole lot of abnormal values - so 40 itself is ~2xULN. My hunch is a bit of fatty inflammation. let us know how it goes.
Aug 16, 2014

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