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A 30-year-old female asked:

Hi:) i had blood work done. everything came back normal except alt which was 44. ast was normal 26. i am healthy no diabetes, no high cholesterol no symptoms. only high bmi. what are the chances it could be something else other than liver disease?

2 doctor answers3 doctors weighed in
Dr. Donald Colantino
Internal Medicine 62 years experience
High ALT: A fatty liver is the most likely cause even in the absence of diabetes or hyperlipidemia. Other liver pathology appears unlikely. I would abstain from alcohol, reduce to an ideal weight, and, if you're able, exercise regularly. A hepatologist or gastroenterologist is best to evaluate,advise and follow you
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Dr. Gurmukh Singh
Pathology 50 years experience
Need more info: 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. Talk to the doctor who ordered the tests. Having said that, your ALT is minimally elevated. If you are even slightly overweight, losing weight is imperative. Wish you good health!
Created for people with ongoing healthcare needs but benefits everyone.
Last updated Nov 27, 2020

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