A member asked:

My doctor wants me to have my liver enzymes checked in 4 weeks ast was 54,alt 21.asp normal negative for hep c, is 4 weeks long enough for ast to decrease? what can be done to lower ast? i dont drink alcohol or take tylenol. bmi 22. all labs normal?

2 doctors weighed in across 2 answers
Dr. Victor Francisco Izaguirre Gutiérrez answered

Specializes in Medicina Interna

Yes, the half-life (time to drecrease by half) in the circulation is about 47 hours for ALT and 17 hours for AST; So 4 weeks is ok. having elevated AST is not proof of a medical problem. It is possible for healthy people with proper liver function to have an AST level outside the normal range, which can occur based on individual factors like age, sex, race, diet, exercise, or medications

Answered 9/29/2021

0 views

Thank
Dr. Ulysses Balis answered

Specializes in Pathology

Four weeks should be long enough. A next step would be to ask your primary care provider to refer you to a hepatologist, with the request that a lipid panel be ordered along with liver function tests. Because of your low BMI, specific disease processes that should be evaluated would include non-alcoholic fatty liver disease (NAFLD), primary biliary cirrhosis, and primary sclerosing cholangitis.

Answered 9/29/2021

0 views

Thank

Related Questions

Online Primary Care Doctors Accepting New Patients

$44 video appointments available today with a membership as low as $15/month

Book a Video Appointment
Ask your question
Didn't find what you're looking for?

90,000 U.S. doctors in 147 specialties are here to answer your questions or offer you advice, prescriptions, and more.

Ask your question

Meet your new favorite doctor
...