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A 30-year-old female asked:

My ast is 54 alt was 21 my lipid panel was all normal bmi is 22 and i dont drink alcohol or take tylenol or any meds. what could be the cause. concerns for liver failure and toxicity?

2 doctor answers2 doctors weighed in
Dr. Hiep Le
Dr. Hiep Leanswered
Nephrology and Dialysis 44 years experience
If I recall correctly you asked this question before. AST is not a specific maker of liver disease unless you are an alcoholic. Liver enzymes fluctuate a lot with routine blood test. You should not lose sleep with this result. If it concerns you too much, you can have the test repeated.
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Dr. Michael Sood
A US doctor answeredLearn more
Greetings,. As a board specialized internist and cardiologist I think you ask a very good question. Isolated rises of transaminases can be an incidental finding but more often a sign of persistent liver damage or inflammation. Fortunately your number is low. You should have a liver ultrasound to exclude a fatty liver, which is common and hepatitis and rheumatologic screening via blood work..
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Last updated Sep 30, 2021

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