I'm four weeks out after having a gastric sleeve done. i had a cmp done and my alt is 218 and my ast is 131is that normal after surgery?

Elevated LFTs: I would expect your alt/ast to be normal after surgery. Whether the surgery is responsible for your enzyme elevation or another reason remains to be elucidated. I would start out by going to either the surgeon who did the surgery or the physician who diagnosed your liver enzyme elevation.

AST ALT sleeve: It isn't normal, but we occasionally see elevations in liver enzymes after weight loss surgery. It may be that you ready had fatty liver disease and the operation has caused some stress and a subsequent rise in liver enzymes. It is usually self limited and doesn't require any treatment. Just have it checked periodically to make sure it doesn't get worse.