A member asked:

Hi, my first abnormal lft showed alt 178 and ast 137. how freaked out should i be?

3 doctors weighed in across 3 answers
Dr. Silviu Pasniciuc answered

Specializes in Internal Medicine

Before worries, what will really help would be getting a better sense of what might be causing the mild increase in liver enzymes. If taking supplements, alcohol or OTC drugs stop for a while until you have your tests repeated, otherwise your doc remains your best reference going forward.

Answered 3/26/2022

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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, if you drink alcohol, stop entirely, if you are overweight, lose weight, do not take acetaminophen and retest in 3-6 months. Wish you good health!

Answered 3/26/2022

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I agree with the advice already given, but in my experience liver enzymes that high are usually indicative of an inflammatory process in the liver.I'd be concerned about viral hepatitis for example. For best evaluation and care, I recommend consulting a hepatologist or gastroenterologist straight away and allow them to direct the workup and guide you and not wait weeks before the investigation.

Answered 3/26/2022

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