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Doctor insights on: Do Liver Test Alt Alk Need Fasting

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Total bilirubin 1.2 direct bil. 7 indirect bil. 50 alk 49 AST 25 ALT 29 this was for liver test. Is my liver healthy?

Total bilirubin 1.2 direct bil. 7 indirect bil. 50 alk 49 AST 25 ALT 29 this was for liver test. Is my liver healthy?

Probably: Often a fasting lab will have a mild elevation of the bilirubin. Your other liver tests are not grossly abnormal. If you have a greater risk for liver problems, it might be good to monitor the liver test periodically. ...Read more

Dr. Qamar Khan
2 Doctors shared insights

Liver (Definition)

This organ plays a major role in metabolism and has a number of functions in the body, including glycogen storage, decomposition of red blood cells, plasma protein synthesis, hormone production, and detoxification. It lies below the diaphragm in the abdominal-pelvic region of the abdomen. It produces bile, an alkaline compound which aids in digestion via the emulsification of ...Read more


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Will Valium and alcohol affect your alk phos, AST and ALT levels when a liver function test is performed. Alkphos29, alt110, ast38 bilirubin dir 0.4?

Will Valium and alcohol affect your alk phos, AST and ALT levels when a liver function test is performed. Alkphos29, alt110, ast38 bilirubin dir 0.4?

Liver function tests: Although valium is metabolized by the liver, it does not increase or decrease liver enzyme activity. Alcohol, on the other hand, depending on the amount consumed & frequency of consumption, can significantly elevate liver enzyme levels to a lesser or greater degree. Your alt is about 4 x normal; ast & direct bilirubin r minimally elevated; alk phos is ok. Tylenol (acetaminophen) can also affect liver enzymes. ...Read more

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My blood test came back with my ast-253 alt-217 and alk phos-145.0 are these readings dangerously high? I have hep c and cirrhosis of the liver

My blood test came back with my ast-253 alt-217 and alk phos-145.0 are these readings dangerously high? I have hep c and cirrhosis of the liver

These: These lab results are consistent with your condition, and indicate an advanced disease process. You need to be followed closely by your doctor. If you have abdominal pain, yellowing of the skin, vomiting blood, etc. Present to the er at once. Otherwise continue to follow up with your doctor and avoid alcohol, fatty foods, and foods with high salt content. Also avoid tylenol (acetaminophen) and advil.
Take care. ...Read more

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My blood test results were: f.B.S=127 b.U.N=11 cre=.8 sgot=48 sgpt=104 alk. Ph=100 cho=237 tg=224 hdl=50 ldl=142.2 have I a problem in my liver? Thanks

My blood test results were: f.B.S=127 b.U.N=11 cre=.8 sgot=48 sgpt=104 alk. Ph=100 cho=237 tg=224 hdl=50 ldl=142.2 have I a problem in my liver? Thanks

May be, but more: Important is your elevated fasting blood sugar. By definition if you repeat it and it again comes out 127, you are diabetic. Please consult your doctor as your earliest convenience and discuss all of your results. ...Read more

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Alt 34, ast32 alk phos 150, trying to figure out what's wrong with me, any ideas? Liver size 18.2

Alt 34, ast32 alk phos 150, trying to figure out what's wrong with me, any ideas? Liver size 18.2

Any symptoms?: 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, your liver function tests are in the normal range. Do you have any symptoms? Why were tests done? It is not feasible to be more helpful in this forum and you should discuss the matter with your doctor. ...Read more

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High gamma GT, ALT and Alk Phos related to liver. High glucose. What should I do? Thanks.

High gamma GT, ALT and Alk Phos related to liver. High glucose. What should I do? Thanks.

See a doctor: You may have diabetes and definitely something wrong with liver i.e. fatty liver, or gallbladder disease, or hepatitis of some form. ...Read more

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For many years AST 13 ALT 11 all phos 58 last year went AST 20 ALT 24 alk 71 this year went back to AST 14 ALT 11 alk 68 do I have liver disease?

On the contrary!: All lab results listed are/were within normal range. Minor fluctuations may occur for a lot of reasons unrelated to liver disease. No worries! ...Read more

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My AST liver enzyme was 17 and my ALT was 16. Alk phos was 76. But total bilirubin was 1.7. Is this ok?

My AST liver enzyme was 17 and my ALT was 16. Alk phos was 76. But total bilirubin was 1.7. Is this ok?

Gilbert's: Likely this is a benign finding of isolated elevated bilirubin in gilbert's syndrome. It is just observed and an incidental finding on a blood test. See this site: http://www. Mayoclinic. Com/health/gilberts-syndrome/ds00743. ...Read more

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Liver enzymes are high alt/sgpt is at 107 u/l and ast/sgot os at 37 u/l and alk phos is at 29 u/l and mono% is 11.8% and neut% is 41.2%. What's wrong?

Liver enzymes are high alt/sgpt is at 107 u/l and ast/sgot os at 37 u/l and alk phos is at 29 u/l and mono% is 11.8% and neut% is 41.2%. What's wrong?

Get a workup: Your physician may have you stop alcohol & meds & repeat; if normal it's your warning. Otherwise a check for hepatitis b & c, hemochromatosis, wilson's, autoimmune hepatitis, and a1at deficiency may be in order; all but the last are very treatable but likely to kill if ignored. If all normal, maybe a fitness lifestyle focus is in your future to your benefit. Cell %'s are worthless viewed alone. ...Read more

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Ast 146 ALT 190 alk phosphate 206 hscrp 17 from normal to this within 6 months. Dr wants biopsy after cat shows fatty liver. What will biopsy tell us?

Ast 146 ALT 190 alk phosphate 206 hscrp 17 from normal to this within 6 months. Dr wants biopsy after cat shows fatty liver. What will biopsy tell us?

Biopsy: Depending on the exact ct scan findings, there may be an area in the liver that the radiologist felt was different. Have you had hepatitis testing? Biopsy would help your doctor identify possible causes for the abnormal blood tests & determine if there is any ongoing liver damage. ...Read more

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Can you explain my hepatic function panel? Alk phos 169, AST 58, ALT 81. I am on 700mg lamictal/day, 50mg/day pristiq (desvenlafaxine) and have fatty liver.

The alk phos: Is slightly elevated. The ast is trivially elevated and the alt is modestly elevated. None are all that concerning and would be consistent with fatty liver. ...Read more

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Diagnosed fatty liver, enlarged liver mid 80s due to hep a. Can't digest food, fatigued, panel ALT 81, asp 58, alk phos 169. What's going on?

Diagnosed fatty liver, enlarged liver mid 80s due to hep a. Can't digest food, fatigued, panel ALT 81, asp 58, alk phos 169. What's going on?

See your doctor: Hepatitis a is not a chronic infection, so likely is not the problem now. A full evaluation by your doctor will decipher the current problem. ...Read more

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I have mild fatty liver and gallbladder polyps my bloodwork now shows AST 34 and ALT 28 GGT 9 I am scared alk phispate 59 do I have cirrhosis 8 weeks ago AST 13 ALT 10?

I have mild fatty liver and gallbladder polyps my bloodwork now shows AST 34 and ALT 28 GGT 9 I am scared alk phispate 59 do I have cirrhosis 8 weeks ago AST 13 ALT 10?

Doesn't sound likeit: Very unlikely that you have chronic liver disease, based on the info provided. Your tests are minimally abnormal at most. Fatty liver can cause these. Check with your doc re: tests for abnormal liver chems, especially if longer than 6 months. ...Read more

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Hi dr, my GGT 220. Also ALT high =140&alk phosphatase 140, I checked hep markers a, b&c it was negative also I don't drink alcohol, can this be frm fatty liver aline, im slight obese my BMI 30.5, what is possible cauuse (s)?

Hi dr, my GGT 220. Also ALT high =140&alk phosphatase 140, I checked hep markers a, b&c it was negative also I don't drink alcohol, can this be frm fatty liver aline, im slight obese my BMI 30.5, what is possible cauuse (s)?

Many things: If you have a fatty liver, then liver enzymes may be slightly elevated. If there is no acute hepatic infection, it may be chronic, or related to a virus you didn't test for, such as ebv. A common cause of elevation of lft is drug reaction. If you take any medications or fat soluble vitamins, they could be the cause. Please see you doctor for proper assessment, evaluation & treatment. ...Read more

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Not diabetic but all the symptoms. HBA1C & Fasting bc normal. I have fatty liver disease. Alt 91. Can constant worry cause these types of symptoms?

Not diabetic but all the symptoms. HBA1C & Fasting bc normal. I have fatty liver disease. Alt 91. Can constant worry cause these types of symptoms?

Worry: Worry always goes with concern!
Please focus on the Headache and Migraine and have a Psychologist take care of you.
Not only will you be better over time, you will pass this on to many family and friends.

The control of your worry will be there - the less you worry the better you will be and, trust me, when you are under control yourself you will let all your friends know! ...Read more

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What do you suggest if my hemoglobin A1c is 6.5, fasting glucose is 100, chloride is 96, lymphs is 3.2, liver ALT is 52?

What do you suggest if my hemoglobin A1c is 6.5, fasting glucose is 100, chloride is 96, lymphs is 3.2, liver ALT is 52?

Good A1c: Hi. You're diabetes is well controlled, and if you keep it that way chronically, your risk of complications will be very low. Your ALT is a tad elevated. That could be many things, so I won't start speculating. Good luck! ...Read more

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Can you help? Is 6.5, fasting glucose is 100, chloride is 96, lymphs is 3.2, liver ALT is 52, protein level is 2+ mean I am diabetic?

Can you help? Is 6.5, fasting glucose is 100, chloride is 96, lymphs is 3.2, liver ALT is 52, protein level is 2+ mean I am diabetic?

See below: 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, if your fasting blood glucose is 100 you are not likely to be diabetic. 2+ protein needs to be investigated. Please consult the doctor who ordered these tests as a person is much more than lab results. ...Read more

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Fasting blood work 4 months ago. TBili 1.5, DBili 0.2, AlkPhos 44, AST 24, ALT 20. Now a dull ache under right ribs. Odds it is liver? Gallbladder?

Fasting blood work 4 months ago. TBili 1.5, DBili 0.2, AlkPhos 44, AST 24, ALT 20. Now a dull ache under right ribs. Odds it is liver? Gallbladder?

Unlikely: I wouldn't be surprised if you had Gilbert's non-disease. Otherwise these labs are not suspicious for any liver problem. If this was biliary colic, you may have gallbladder disease, or a sore muscle or cartilage, or any of a number of other things. If it lasts over 2 weeks, get seen. ...Read more

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Fasting blood work. Total Bilirubin 1.5, Direct Bili 0.2, Alk Phos 44, AST 24, ALT 20, Albumin 4.4, Tot protein 6.6. Is high total Bili concerning?

Fasting blood work. Total Bilirubin 1.5, Direct Bili 0.2, Alk Phos 44, AST 24, ALT 20, Albumin 4.4, Tot protein 6.6. Is high total Bili concerning?

Not unless its inc--: Reasing. Every Lab has its own Reference range, so checking with your PCP would be the best as None of us would have a clue to the Reference your lab uses.
Overall your numbers are not terribly high, except the Alk phos, I think.
Best check with your PCP and maybe repeat the tests after 4-6 weeks time.
Good Luck ...Read more

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My ALT (76) and ldh (239) are high. Is it cause for concern? All other liver tests are normal.

Yes: Your physician will want to rule hepatitis b, hepatitis c, hemochromatosis, wilson's, and autoimmune hepatitis in or out. All are lethal if untreated, but more or less treatable if caught early. The first step may be repeating your labs off alcohol & meds. If all tests come back good, perhaps you'll try out a fitness-focused lifestyle & give new life to your liver. ...Read more

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My daughter's recent ALT can back slight elevated which was normal last yr. Should I worry? Normal range of 32 she is at 38. Other liver tests normal

My daughter's recent ALT can back slight elevated which was normal last yr. Should I worry? Normal range of 32 she is at 38. Other liver tests normal

Don't worry.: There is probably nothing to worry about with this level, as long as she is healthy and all the other liver function tests are normal. How old is she and why did she have the lab work done? It is hard to fully answer this question without that information, so you are best discussing this with her doctor. ...Read more

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Should I be concerned that my ALT liver test is higher than my ast?

Need more info: What are the actual values? If both are within normal limits it does not matter. All lab results need to interpreted in the clinical context and the doctor who ordered the test is usually in the best position to do that. ...Read more

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If you're ALT/SGPT liver test is 105 does that mean it's high or anything bad necessarily?

If you're ALT/SGPT liver test is 105 does that mean it's high or anything bad necessarily?

This is serious: Most folks run 20 or under and the reference range top is probably 40. Listen, friend. You'll have this repeated after two week off medication and alcohol, if appropriate. If it's still up, you'll get a workup for several deadly-if-missed, easy-enough-to treat illnesses (hep B/C, hemochromatosis, WIlson's, autimmunity). It may simply be your body's way of asking for more exercise. Best wishes. ...Read more

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Hello My ALT liver test was 41 one month ago and is now 55 two days ago. I'm not over eating, perhaps under eating as I don't eat past 8 pm tx?

Hello My ALT liver test was 41 one month ago and is now 55 two days ago. I'm not over eating, perhaps under eating as I don't eat past 8 pm tx?

You have "hepatitis": "Hepatitis" is a generic term that means your liver is inflamed. This can be caused by infection w/ viruses (like a, b, c, d, e, etc, cmv, ebv), parasites, bacteria. Non-infectious causes include alcohol, toxin exposure, occupational risk, drugs (like Tylenol (acetaminophen) overdose), familial liver diseases, ischemic damage, heart problems, infiltrative pathology ("fatty liver"), trauma, etc. Any test results? ...Read more

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My liver function test showed a reading of ALT 34 & AST41 U/L means?

My liver function test showed a reading of ALT 34 & AST41 U/L means?

ALT and AST: It means you need to always include the normal range for you lab in order for me to help. ...Read more

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On a liver dysfunction test the ALT was 175. Is this result dangerous?

Not in & of itself..: A normal alt is around 50. Even though 175 is over triple this, it is not a very significant elevation. A dx, resulting from a good history and physical exam--with particular attention to liver and spleen size and lymph nodes--other blood test, including other liver function tests, tests for hepatitis, hiv, and tests indicated by h & p--is crucial. It may simply be 'fatty infiltration of liver'. ...Read more

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How quickly do liver alt's alter themselves, what is the optimum re-test period for unknown cause isolated ALT raise?

How quickly do liver alt's alter themselves, what is the optimum re-test period for unknown cause isolated ALT raise?

Depends: If you recently had infectious mono, it might be best just repeat when you feel well unless you are super-sick. If discovered incidentally, two weeks after stopping alcohol and all meds is enough time for a drop to be clear if this is the cause. Otherwise, you'll get worked up for viral & autoimmune hepatitis, hemochromatosis, wilson's & perhaps a few others. Stay aerobically active if you can. ...Read more

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Can motilllium (domperidone) cause liver alt^? Could you read my profile, and suggest where next I should be going - what tests? Desperation set in

Not likely: Motillium is not likely the source for your elevation of alt levels. Many other possibilities should be considered first likely chronic viral hepatitis, fatty liver, other medications or autoimmune liver disease. See a liver specialist (hepatologist) or gastroenterologist for formal work up if the elevation has been for 3 months or longer. ...Read more

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Could my continuing & fluctuating mild alt elevations (50-90) be evidence of mild fatty liver. All other tests are negative inc fibroscan (6.6).Not fat. Used to be very active, still am to a degree but eat irregularly and late night due to shift work?

Could my continuing & fluctuating mild alt elevations (50-90) be evidence of mild fatty liver. All other tests are negative inc fibroscan (6.6).Not fat. Used to be very active, still am to a degree but eat irregularly and late night due to shift work?

Liver injury: Mildly Elevated ALT indicates mild liver injury which can be due to viral hepatitis (sometimes other than hepatitis A, B or C), fatty liver, inflammation of the bile ducts, autoimmune disease or simply a reflection of inflammatory disorder in surrounding organs like in appendicitis or colitis. If this persists you should discuss the possibilities with your dr ...Read more

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ALT 66 with other Liver tests normal & Hep B & C negative after being on Iberet Folic for a month. What it may be?

ALT 66 with other Liver tests normal & Hep B & C negative after being on Iberet Folic for a month. What it may be?

ALT: Minor elevations of hepatic enzymes are most often due to fatty liver, but in your specific case, without further investigation this cannot be answered over the internet. ...Read more

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I went for liver test and the result shows that my alt (sgpt) is 84.3 and asp (sgot) is 87.5. Pls what does it mean?

Further workup: This could mean any type of liver disease or could be medication/herbs related (if you are taking it). You need further blood tests to evaluate for cause and some type of imaging (can start with ultrasound). You should see a gastroenterologist/hepatologist. ...Read more

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I just got my blood test result and it showed my ALT liver is 69. Something wrong with my liver? Why it is so high? I am very worry

I just got my blood test result and it showed my ALT liver is 69. Something wrong with my liver? Why it is so high? I am very worry

Need evaluation: Do you drink alcohol? Are you on any medications? Alt of 69 is higher than normal but not that high. If you drink, stop for three months and redo the test. All lab results need to be interpreted in the clinical context and the doctor who ordered the test is usually in the best position to do that. ...Read more

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My husband went in for a routine physical and his liver enzymes were ALT was 200 test was redrawn 48 hours later and ALT increased to 600.?

My husband went in for a routine physical and his liver enzymes were ALT was 200 test was redrawn 48 hours later and ALT increased to 600.?

Serious.? hepatitis?: Hepatitis is defined as inflammation of liver cells, as is indicated by elevation in serum transaminases (ast and/or alt). Hepatitis can be caused by a variety of issues (infectious, ischemic, metabolic, toxic, infiltrative, alcohol-related, drugs, etc.). It is impossible to say why his liver tests are elevated without more information--so, what tests have been done ; what has been ruled out? ...Read more

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If Hepatitis and Fatty liver test is negative, can having consistent elevation in S. ALT (57 IU/L for 3 yrs, doesn't change) be a medical emergency?

If Hepatitis and Fatty liver test is negative, can having consistent elevation in S. ALT (57 IU/L for 3 yrs, doesn't change) be a medical emergency?

Liver tests: There are several different forms of infectious hepatitis -A, B and C are the major ones. If you've been tested for Hep B and are negative -you should probably at least get a Hep C test to be sure about that. You must have had an ultrasound to evaluate if you have fatty liver or not? There are other causes for a raised ALT -so it would be nice to figure this out. See a GI doc (gastroenterologist). ...Read more

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Anyone know what these liver test results mean: AST ALT ldh?

Anyone know what these liver test results mean: AST ALT ldh?

Liver: These help suggest if there is any ongoing liver problems. ...Read more

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Please describe a good reading for ast/sgot and alt/sgpt on the liver function tests?

They should be norma: The normal levels are under 50 units. But this is a very sentive test. It takes a minor liver damage and the enzymes can go up into value of 100s. ...Read more

Sgpt (Definition)

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