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Doctor insights on: Bilirubin High Alt Ast Normal

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My ALP recently was 128, marked as high. The top end of the range given was 117. Bilirubin was normal at 1, ALT 33, and AST 26. Is the ALP a concern?

My ALP recently was 128, marked as high. The top end of the range given was 117. Bilirubin was normal at 1, ALT 33, and AST 26. Is the ALP a concern?

No: Your ALP is just above normal. About 2.5% of normal people will have a value just above normal.
For good health - Have a diet rich in fresh vegetables, fruits, whole grains, milk and milk products, nuts, beans, legumes, lentils and small amounts of lean meats. Avoid saturated fats. Exercise at least 150 minutes/week and increase the intensity of exercise gradually. Do not use tobacco, alcohol, weed or street drugs in any form.
Practice safe sex. ...Read more

Bilirubin (Definition)

Bilirubin is the potentially toxic product of heme metabolism. It is formed by breakdown of heme present in hemoglobin, myoglobin, cytochromes, catalase, peroxidase and tryptophan pyrrolase. Eighty percent of the daily bilirubin production comes from hemoglobin. It requires conversion to a water-soluble form before elimination from the body by ...Read more


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Had. 5mgdl direct bilirubin.1.2 total. High end of normal ALT and AST everything else liver low or normal. What could this mean? Thanks :)

Had. 5mgdl direct bilirubin.1.2 total. High end of normal ALT and AST everything else liver low or normal. What could this mean? Thanks :)

May be normal: All lab 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. Do you have any symptoms? Are there any risk factors for hep c? Please discuss the results with your doctor. ...Read more

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My bloodwork shows slightly elevated bilirubin but normal AST and alt. What does this mean and should I worry?

My bloodwork shows slightly elevated bilirubin but normal AST and alt. What does this mean and should I worry?

Gilbert's syndrome: This is a benign condition that requires no treatment characterized by mildly elevated bilirubin and otherwise normal liver function tests. The bilirubin can be higher with fasting which is why we often see it on routine blood work. It is not a disease and again requires no treatment. ...Read more

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AST elevated (65), ALT elevated (50) and total bilirubin elevated (3.0). All other enzymes are normal. Is this significant??

Elevated Bilirubin I: Elevated Bilirubin is concerning. Elevated AST and ALT are mild. You need to see liver specialist (Hepatologist)
and have more testing. ...Read more

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Liver ast/alt test was elevated, now they are normal; liver us was normal. Bilirubin is slightly elevated and I'm going for a GI consult. Causes?

Many possibilities: You may already know the answer by now, if you have seen the GI specialist. Elevated bilirubin may be side effect of drugs, excessive destruction of red cells, blockage to the flow of bile and more. ...Read more

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Last month ast, ALT all normal, albumin, globulin, bilirubin not normal, this month albumin, bilirubin, globulin normal but AST and ALT very high. Possible?

Last month ast, ALT all normal, albumin, globulin, bilirubin not normal, this month albumin, bilirubin, globulin normal but AST and ALT very high. Possible?

Yes: This is not only possible but commonplace. I believe we've met. Cirrhosis is a chaotic system and labs fluctuate based on activity (damage / healing). We're not going to know for certain, but if we could talk to your liver, i'd bet he would tell you he's regenerated a huge number of cells which is why he's working better and has more total cells though still bearing injury. Be glad. ...Read more

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Will milk thistle also help bilirubin? It has improved my ALT and AST to normal but my bili is not. Could it be high constant with Gilberts high a yr

Sort it out: I understand that you were found to have fatty liver, had high transaminases that are now down. Fatty liver is prone to heal itself especially if you get into fitness even a little bit. Milk thistle has failed most controlled studies though it does reduce toxicity of some drugs. If the bili is unconjugated and goes up if you miss a few meals, Gilbert's is likely. It's very common. ...Read more

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Pregnant & had gallbladder attack month ago, all levels were high now ALT & AST, Bilirubin is normal. But GGT is 164 (was 202, then 185 after attack)?

Pregnant & had gallbladder attack month ago, all levels were high now ALT & AST, Bilirubin is normal. But GGT is 164 (was 202, then 185 after attack)?

If gallbladder gets: Fully obstructed, it will usually get infected as well. It would need removal, most likely.
However, if not obstructed, would try to wait to pregnancy is completed, then remove gallbladder. ...Read more

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Recent blood test shows high direct bilirubin. Total bilirubin is 0.7 &direct0.5 and indirect 0.2. ALT, AST, GGT, Alk. Phos are in normal range. Is it ok?

Recent blood test shows high direct bilirubin. Total bilirubin is 0.7 &direct0.5 and indirect 0.2. ALT, AST, GGT, Alk. Phos are in normal range. Is it ok?

Okay: 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. Having said that, there is nothing in your results to be concerned about.
For good health - Have a diet rich in fresh vegetables, fruits, whole grains, milk and milk products, nuts, beans, legumes, lentils and small amounts of lean meats. Avoid saturated fats. Exercise at least 150 minutes/week and increase the intensity of exercise gradually. Do not use tobacco, alcohol, weed or street drugs in any form.
Practice safe sex. ...Read more

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Alkaline Phosp 165; Bilirubin 0.4;AST 19; ALT 22; GGT 31; Total Protein 7.1; Albumin 4.4; Globulin 2.7 and other results are normal. High ALP serious.

Alkaline Phosp 165; Bilirubin 0.4;AST 19; ALT 22; GGT 31; Total Protein 7.1; Albumin 4.4; Globulin 2.7 and other results are normal. High ALP serious.

Is that all?: I'm going to assume that your have no signs or symptoms and other labs are fine. Many folks run a high alk phos, and some folks' spikes up if they're not fasting. If your physician is not worried, I woulnd't be either. ...Read more

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Had cmp. In 7/2014 ALT was 15 and is now 31, AST was 19 and is now 38. Should I worry? Bilirubin was. 6 and now. 1. All normal except high potassium

CMP: Typically the range for normal AST is reported between 10 to 40 units per liter and ALT between 7 to 56 units per liter. Your labs are still within normal limits. I would just have another CMP rechecked in a few months to make sure these numbers are not rising. Certain medications can cause you liver enzymes to be elevated as well. ...Read more

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My total protein 8.7, bilirubin 2.7, ggt, alt, and ast all in normal range. I have a history of elevated bilirubin. What can this be?

Gilbert's syndrome: Not important, abnormal gene for liver bilirubin metabolism but no harm, probably this, gets worse if starving, hands get a little yellow, won't harm you, if concerned see hematologist or gastroenterologist ...Read more

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Is this considered high bilirubin results: Total Bilirubin 1.1 mg/dL, direct: 0.41dL and indirect 0.7mg/dL. ALT (SGPT) 36 UI/L, AST 29 UI/L?

Is this considered high bilirubin results: Total Bilirubin 1.1 mg/dL, direct: 0.41dL and indirect 0.7mg/dL. ALT (SGPT) 36 UI/L, AST 29 UI/L?

Normal: The results you give look normal to me without knowing any reason why they were done. Results should always be discussed with the doctor who ordered them and interpreted in a complete clinical setting. ...Read more

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My alt is 36 and ast 25. Is that normal? Bilirubin 0.2

Labs: Normal ALT for male 10-40, Normal AST 11 to 26, Billirubin is 1mg/dl or less. It all looks good. ...Read more

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AST (SGOT) is 2494 U/L (normal range is <50); ALT (SGPT) is 2363 U/L (normal range is <50) and Bilirubin total is 4.51 mg/dl. How serious is he?

It depends: How does he FEEL? If this is simply acute hepatitis from a virus or a medication, he may end up fine. If it is from alcohol, then he is in serious danger -- if he recovers, there's still the behavior that caused this in the first place, itself deadly serious. If he is systemically sick and this is "shock liver", the treatment is that of the underlying illness. ...Read more

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Elevated alt/ast/ldh and bilirubin?

Liver dysfunction: This indicates abnormality in liver function. Talk to your physician. ...Read more

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Can you just all the sudden develop gilberts? My bilirubin has been middle elevated for over a year. Alt and AST been ele for 10mth last 2 mth good

Congenital: Gilbert's syndrome is a congenital, life long condition that might get worse in certain condition such as infections or dehydration and may cause jaundice and or fatigue. Otherwise, benign condition with no need for specific treatment. ...Read more

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Nonfasting Bilirubin: 1. Fasting Bilirubin: 1.5 AP, AST, ALT all normal. Is there a specific/combination of tests to tell if I might have Gilbert's?

Nonfasting Bilirubin: 1. Fasting Bilirubin: 1.5 AP, AST, ALT all normal. Is there a specific/combination of tests to tell if I might have Gilbert's?

? Gilbert's disease: It is a familial (autosomal dominant), common (2-5% of people), unconjugated hyperbilirubinemia (blood bilirubin measures 1-5mg/dl), not due to breakdown of blood. It is associated with reduced enzyme levels of udp glycuronyl transferase, that results in jaundice when patients fast or suffer an infection. Simple testing is available but not always necessary. Ref: http://www. Medicinenet. Com/gilbert ...Read more

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What causes low bilirubin. 1 (ind.). 1 (dir).2 total and high albumin 5.2? (ast 30, ALT 29) protein7.8, (low wbc)

Not concerned: Being outside the reference range, especially by a bit, doesn't mean unhealthy for most labs. Your bilirubin level is of no significance, and I am not at all concerned about your albumin, ast, alt or protein either. If your absolute white count is low on follow-up it might be of some passing interest though only marked variants from the reference range. Treat the person, not the numbers. ...Read more

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Hepc, cirohisis, last monthreport ast/alt veryhigh, bilirubin, albumin-abnormal range. Thismonth report ast/alt, bilirubin, albumin all normal. Isit posble?

Yes: If I understand correctly, you have known hepatitis c that has progressed to cirrhosis, had an abnormal ast/alt, bilirubin high, Albumin low last month, and all are normal this month. Will assume lab did not switch sample. Hepatitis c is a chaotic disease prone to exacerbate / remit & some medication may be the actual cause of last month's problem. How do you feel? Rx you, not the numbers! ...Read more

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If I have very high levels of alkaline phosphatase, ast, alt, total bilirubin, what does it mean?

If I have very high levels of alkaline phosphatase, ast, alt, total bilirubin, what does it mean?

Liver enzymes: May have underlying serious liver problem. Cirrhosis of liver, chronic alcoholism, hepatitis a, b, or c, primary biliary cirrhosis, congenital liver disorders, obstructive jaundice etc. Gi specialist might be able to help you. ...Read more

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Can gilberts disease cause high ALT 78 and AST 50 and bilirubin 1.2? Diagnosed with fatty liver in july. Had us done in jan it showed little fat.

Not usually: Gilbert's causes a "cosmetic" abnormality in bilirubin (bile pigment) metabolism. Does not cause changes on ast, alt-that reflects mild inflammation of liver cells. Could be due to overweight, needs, alcohol, infection, immune inflammation, other. ...Read more

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Hx of rectal ca sp LAR, CEA 4m interval rise from <0.5 to 2.4, Bilirubin 0.4, alkaline phosphatase 46, ALT 46, but high AST 79. What's the cause?

LIVER PROBLEM: No evidence with the tests that there is recurrent rectal Ca. The AST or SGOT suggests there is some form of liver damage that should be evaluated by scan and possible liver biopsy. ...Read more

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Elevated sed rate (32), elevated AST (36) & ALT (48), Total Bilirubin is slightly high (0.9) and creatine is slightly low (0.7) what could this be?

Need more informati: The sed rate is not that high but this depends on your health, age, medical issues etc. You will need a full evaluation to consider the reason for the elevaed liver tests. A normal sed rate for women is 1/2 your age plus 10. We don't know your age. Liver test elevation can be due to health issues like liver disease, hepatitis C, fatty liver, or to medications you take. See your physician. ...Read more

Sgpt (Definition)

Liver enzyme that has a metabolic function, its elevated when ...Read more


Sgot (Definition)

Has metabolic function, elevated if ...Read more