Good morning, my alt level on my recent blood work shows a result of 48u/l, should i be concern? what would be the cause of this high result? should i do further test besides ultrasound on my liver? ultrasound results indicate i have fatty liver. not sure

Not too high: All laboratory results need to be interpreted in the clinical context and the doctor who ordered the tests is usually in the best position to do that. Having said that, fatty liver can explain the minimal elevation in ALT. If you drink alcohol, stop entirely. If you are even minimally overweight, lose weight. For good health - Have a diet rich in fresh vegetables, fruits, whole grains, milk and milk products, nuts, beans, legumes, lentils and small amounts of lean meats. Avoid saturated fats. Drink enough water daily, so that your urine is mostly colorless. Exercise at least 150 minutes/week and increase the intensity of exercise gradually. Do not use tobacco, alcohol, weed or street drugs in any form. Practice safe sex, if you have sex.

Fatty liver: Fatty liver can cause this minor increase in your ALT level. See your family practice doctor to help with treatment and monitor your liver function tests. Avoid medications that are primarily liver metabolized and lose weight, if overweight. Good luck!