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Doctor insights on: How To Lower Alt And Ast Levels

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Dr. Michael Zevitz
Board Certified, Cardiology
32 years in practice
384K people helped
1

1
How can I lower levels of AST (sgot) and ALT (sgpt)?

Dr. Michael Zevitz
Board Certified, Cardiology
32 years in practice
384K people helped
How can I lower levels of AST (sgot) and ALT (sgpt)?

Depends on the cause: Sgot and SGPT are liver enzymes. Lowering them depends on the cause of the elevation. Some medications can cause the elevation and stopping the medications will result in normalizing them. Alcohol, gallstones, infections (mono, hepatitis), and other liver toxins can also cause elevated liver enzymes. ...Read more

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Dr. William Forsythe
Board Certified
22 years in practice
170K people helped
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Dr. William Forsythe
Board Certified
22 years in practice
170K people helped
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Dr. Gurmukh Singh
Board Certified, Pathology
44 years in practice
96M people helped
2

2
Can imuran (azathioprine) lower AST and ALT levels?

Dr. Gurmukh Singh
Board Certified, Pathology
44 years in practice
96M people helped
Can imuran (azathioprine) lower AST and ALT levels?

Depends: If the high ALT AST is due to rejection of a transplanted liver imuran may help. Imuran is much too powerful a drug for self treatment. ...Read more

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Dr. William Forsythe
Board Certified
22 years in practice
170K people helped
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Dr. William Forsythe
Board Certified
22 years in practice
170K people helped
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Dr. Ali Saberi
Board Certified, Internal Medicine
15 years in practice
1M people helped
3

3
Does lower SGOT(AST) and SGPT(ALT) levels (10 and 14 respectively) means weaker liver function? what is the average number of these hormones in blood?

Dr. Ali Saberi
Board Certified, Internal Medicine
15 years in practice
1M people helped

Not necessarily: Liver function is mainly looked at through total protein, albumin, international normalized ratio levels, which are proteins that the liver produces to help other parts of the body-if they are consistently low then it can suggest liver dysfunction or under functioning. AST and ALT are markers also, but not as specific for liver dysfunction as the above mentioned. ...Read more

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Dr. EVAN Leibowitz
Board Certified, Rheumatology
20 years in practice
584K people helped
4

4
I have acute autoimmune hepitatis. Does apple cider vinegar help lower aklaline levels AST and alt?

Dr. EVAN Leibowitz
Board Certified, Rheumatology
20 years in practice
584K people helped

Elevated liver tests: Autoimmune hepatitis is when the body's immune system attacks the liver causing it to be inflamed. When liver cells are inflamed enzymes that normally live inside the cells leak out and can be measure in the blood. The treatments for the inflamed liver is anti-inflammatory medication and not apple cider vinegar. ...Read more

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Dr. William Forsythe
Board Certified
22 years in practice
170K people helped
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Dr. Jason Kline
Board Certified, Nephrology and Dialysis
14 years in practice
320K people helped
5

5
Hi.My ALT is 90 and AST is 100.Hepatitis test negative.What should I do to reduce the ALT and AST levels.?What food I use and avoid eating?

Dr. Jason Kline
Board Certified, Nephrology and Dialysis
14 years in practice
320K people helped

Talk to your doctor.: Elevated transaminases (ast, alt) suggest liver injury. A negative hepatitis panel only excludes (most) viral infections that could injure the liver. Other causes of liver injury need to be investigated. Your doctor may ask you to see a gastroenterologist or hepatologist for further work up. In the meantime, i would avoid Acetaminophen (tylenol), herbal supplements, and alcohol. ...Read more

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Dr. Visalakshi Vallury
Board Certified, Family Medicine
19 years in practice
2M people helped
6

6
My ALT and AST levels spiked to 254/111, in july 2011. They've slowly dropped, to 152/74 in nov, and just today to 80/40. What might be the cause?

Dr. Visalakshi Vallury
Board Certified, Family Medicine
19 years in practice
2M people helped

A number of causes: Elevated liver enzymes can be caused by excess fat (obesity), medications, herbal supplements, autoimmune disease, viral infections, alcohol to name a few. The fact that your enzymes are improving is a good sign. You can help prevent any worsnening by avoiding alcohol, minimizing tylenol use etc. When in doubt always check with your doctor about any medications or supplements. ...Read more

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Dr. Sewa Legha
Board Certified, Medical Oncology
45 years in practice
9M people helped
7

7
Both my ALT and AST levels are 80. I had an ultrsound that came back negative. What should I do now?

Dr. Sewa Legha
Board Certified, Medical Oncology
45 years in practice
9M people helped

Recheck your LFTs: You need to get follow up liver functions(lfts) done in a couple of weeks. If the enzyme levels are declining, then you are likely to do well. If they persist to be high you may need a liver biopsy done. But this is all best handled by your doctor who should be either an internist or a liver specialist(gastroenterologist or better yet a hepatologist). ...Read more

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Dr. Marvin Den
Board Certified, Internal Medicine
40 years in practice
6M people helped
8

8
I took abbout 8 ibuprfens a day for about a week.Wd that cause high ALT and AST levels.How long does ibu stay in system?

Dr. Marvin Den
Board Certified, Internal Medicine
40 years in practice
6M people helped

Liver inflammation: It is possible that the Ibuprofen contributed, but there may be other reasons as well. This needs to be further evaluated. ...Read more

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Dr. Daniel Saurborn
Board Certified, Diagnostic Radiology
18 years in practice
633K people helped
9

9
41 year old female and I have low ALT and AST levels. And recent ultrasound shows spots on my liver. What does this mean?

Dr. Daniel Saurborn
Board Certified, Diagnostic Radiology
18 years in practice
633K people helped
41 year old female and I have low ALT and AST levels.  And recent ultrasound shows spots on my liver.  What does this mean?

Liver "spots" are: very common, and many times they are benign but without seeing the images I cannot make a diagnosis. Having low ALT and AST levels is generally good however, since they INCREASE with liver disease. Consider HealthTap Concierge for a review of your images and more specific recommendations. ...Read more

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Dr. Ed Friedlander
Board Certified, Pathology
39 years in practice
137M people helped
10

10
Does ibuprofen cause high ALT and AST levels?

Dr. Ed Friedlander
Board Certified, Pathology
39 years in practice
137M people helped
Does ibuprofen cause high ALT and AST levels?

In can in some folks: In fact, one initial approach to elevated alt/ast is to stop taking iboprofen & see whether they go down in 2 weeks. ...Read more

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Dr. William Forsythe
Board Certified,
22 years in practice
170K people helped
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