I have high alt levels that aren't coming down and i'm getting nowhere with my doctor. what to do?

Find out why: Has your doctor done test to figure out why the alt is high? If not tests to rule out hepatitis are indicated. Other problems such as medicines can lead to this also and last but not least is fatty liver disease. An ultrasound of the liver can help to see if this is a likely cause.

You need evaluation.: I agree with dr. Washington. This should be evaluated. Elevated liver enzymes should never be ignored. The most common cause of elevated alt in the United States is from nonalcoholic fatty liver disease (a metabolic disorder). There are also many other causees of elevated liver enzymes which are autoimmune, genetic, infectious, and metabolic. All of these should be ruled out.