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Doctor insights on: Liver Ast Alt Levels

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What might cause elevated liver alt ast levels?

What might cause elevated liver alt ast levels?

Many conditions: Including Hepatitis of all forms, drug adverse effects, liver diseases, GB diseases, CHF, ETOH and etc ...Read more

Dr. Krishna Kumar
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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AST level 59 Alt level 27 anything to worry about? All other liver test in the blood normal

AST level 59 Alt level 27 anything to worry about? All other liver test in the blood normal

Any symptoms?: Why were these tests done? 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, it does not seem to be a serious issue, however the elevated AST may be due to alcohol, medications you may taking or if you are overweight. Discuss it with your doctor. ...Read more

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After a fully negative workup incldg ultrsound liver, I stopped eating from outside and my ALT dropped from 271 to 70 now is level ok? Ast 39

After a fully negative workup incldg ultrsound liver, I stopped eating from outside and my ALT dropped from 271 to 70 now is level ok? Ast 39

Too high...: Alt should be less than 30 (reference ranges of labs may vary). Transaminitis (elevated alt/ast) is indicative of inflammation of the liver. Fatty liver disease is the #1 cause of this lab abnormality. If your bmi is >25 and your alt/ast is elevated, and your hepatitis serology is negative, there is a good chance you suffer from fatty liver disease which would improve with weight loss. ...Read more

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What is an example of ast/alt levels for someone with cirrhosis of the liver?

What is an example of ast/alt levels for someone with cirrhosis of the liver?

Often normal: This is a very common point of confusion. Ast/alt reflect recent liver cell injury. A person who has ruined his liver with alcohol but is now sober may have normal ast/alt or perhaps even always did. In fact, apart from serum bilirubin and Albumin & some obscure tests, it's hard to know how the liver is actually working -- perhaps "how to you feel? " is still best? ...Read more

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What is the best way to lower high levels of AST and ALT enzymes in the liver?

What is the best way to lower high levels of AST and ALT enzymes in the liver?

Seek cause.: Before figuring out how to lower your AST and ALT, we'd need to know why they're elevated. An investigation into liver pathology is in order. ...Read more

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My AST level is 86 and my ALT level is 228. I am a 41 year old female who is relatively healthy. Do I need to have a liver biopsy?

My AST level is 86 and my ALT level is 228. I am a 41 year old female who is relatively healthy. Do I need to have a liver biopsy?

You have "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's impossible to say why your liver tests are elevated without more information--so what tests have been done ; what else has been ruled out? ...Read more

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Elevated Liver enzymes. ALT 126, AST 281. Seeing a gastrolologist Looking at charts. Is this extremely high levels?

Elevated Liver enzymes. ALT 126, AST 281. Seeing a gastrolologist Looking at charts. Is this extremely high levels?

Liver Disease: One can go into liver failure if their enzymes are more than five times normal. Your labs are four to eight times normal. This is very dangerous and must be addressed urgently to determine the cause of the problem. ...Read more

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

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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Elevated AST=43 and ALT=83 levels with diffused fatty liver and slightly smaller liver size. Is it an early sign of cirrhosis & how can it be treated?

Elevated AST=43 and ALT=83 levels with diffused fatty liver and slightly smaller liver size. Is it an early sign of cirrhosis & how can it be treated?

Manage it: This is worrisome and while this doesn't qualify as any kind of cirrhosis, you could end up with it. I trust hepatitis c, Wilson's, and a few others have been ruled out. Stay trim and fit and ask about meds. ...Read more

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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?

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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I've attached my ⬆AST/ALT Levels. Currently am waiting for Liver CT as I have growing "cysts". I can barely function. Any insight?

I've attached my ⬆AST/ALT Levels. Currently am waiting for Liver CT as I have growing "cysts". I can barely function. Any insight?

CT important: Most liver cysts are not painful. At a certain size they may cause symptoms including pain. Simple cysts can be drained and made smaller by an invasive radiologist. Surgeons can also respect the offending segment. It is best talk to your doctor to discuss your options following the CT. ...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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Liver Enzymes: AST 123 Alt 304 alp 220. Had 10 blood test & 5 ultrasound- can't find anything but slight fat liver. 5'9 204lbs. Should I do biopsy? Or are these levels of enzymes from my diet?

Liver Enzymes: AST 123 Alt 304 alp 220. Had 10 blood test & 5 ultrasound- can't find anything but slight fat liver. 5'9 204lbs. Should I do biopsy? Or are these levels of enzymes from my diet?

Keep looking...: 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's impossible to say why your liver tests are elevated without more information--so what labs have been done & what else has been ruled out? ...Read more

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Hi Doc My billirubin levels went to 17 and my ultrasound on liver, pancreas shows normal, ALT. Ast came normal and HEP A, B, C came negative. Pls suggest?

Hi Doc My billirubin levels went to 17 and my ultrasound on liver, pancreas shows normal, ALT. Ast came normal and HEP A, B, C came negative. Pls suggest?

SeveralPossibilities: ↑ed breakdown of RBCs (Heme=bilirubin source), anything ↓ing ability of hepatic cells to move bilirubin from blood into bile &/or internal bile leak & internal recycling of bilirubin, US=limited data of echos from tissues; highly dependent skills/knowledge of technician & physician reader+awareness of clinical situation (often not told). ALT&AST only indicate no ↑ed rate of liver cells leak/death. ...Read more

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ALT is 63, AST normal range. I am obese, high triglycerides, bad eating, and pretty sedentary. Diet and exercise to get levels down? Any supplements you would recommend in addition? I hear the liver is resilient, responds well to lifestyle changes.

ALT is 63, AST normal range. I am obese, high triglycerides, bad eating, and pretty sedentary. Diet and exercise to get levels down? Any supplements you would recommend in addition? I hear the liver is resilient, responds well to lifestyle changes.

Lifestyle changes: Are definitely helpful in reversing "fatty liver" due to obesity. The liver is very resilient, but recover requires major changes, which are often difficult to make and even more difficult to maintain. It requires a great deal of determination and consistency. Medications can be helpful but only along with the necessary lifestyle changes. See: http://helpdoctorwtlosstips. Blogspot. Com/ ...Read more

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Liver enzymes were normal in early April – AST was 32, ALT was 28, at that time I was drinking maybe 4 or 5 pints of beer on weekends (no alcohol during week). Since then, I have had 5-8 pints per wknd...blood test in a week. Will liver levels rise?

Liver enzymes were normal in early April – AST was 32, ALT was 28, at that time I was drinking maybe 4 or 5 pints of beer on weekends (no alcohol during week). Since then, I have had 5-8 pints per wknd...blood test in a week. Will liver levels rise?

May be: May be is not much of an answer and you may already know the results of your tests. However, I would like to stress that alcohol is a poison that never did anybody any good ever.
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. Drink enough water daily, so that your urine is mostly colorless. 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, if you have sex. ...Read more

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I have hep c from transfusion at birth. Blood levels ALT 131, GGT 235, AST 29, billrubin 0.5 - should I worry about my liver? Never drink or do drugs.

I have hep c from transfusion at birth. Blood levels ALT 131, GGT 235, AST 29, billrubin 0.5 - should I worry about my liver? Never drink or do drugs.

Yes: Hi, your alt levels are high that implies that your liver is getting damaged. Depending upon the subtype of the hep c virus ; the stage of liver damage, you could be offered treatment, which could be potentially curable. See a hepatologist or GI who takes care of liver diseases urgently as new potent medications have recently come on the market. Make sure you are vaccinated for hep b.Best of luck. ...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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Are these liver counts indicative of any serious liver problem? AST 34, ALT 54, IFCC 92, G-GT 48

Depends: 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, ALT is slightly elevated. If you drink alcohol, stop that. If you are overweight, try to lose weight. The results are not a cause for any urgent issues.
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. Drink enough water daily so that your urine is mostly colorless.
Practice safe sex. ...Read more

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My liver count is AST 34 (normal), ALT 54 (high), IFCC 92 (normal), G-GT 48 (normal). Are those numbers worrisome?

Doubt: UNLIKELY. THOSE ARE MILD EELEVATIONS AND I DO NOT THINK INDICATIVE OF CIRRHOSIS. IF YOU THINK THERE IS MORE OF A PROBLEM YOUR Doctor can order ultrasound. An elevated ammonia and PT/INR. are associated with cirrhossis. ...Read more

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Do liver pills have lower your ast and alt?

Do liver pills have lower your ast and alt?

No: Liver pills are advertised to detoxify you, and so may be ok for healthy people. They aren't designed to treat people with liver problems. ...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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Can I reverse a fatty liver with results like AST (SGOT) 115 ALT (SGPT) 315?

Can I reverse a fatty liver with results like AST (SGOT) 115 ALT (SGPT) 315?

Maybe: Start exercising harder and comply with any other directives your physician gives you. I trust you are not drinking heavily, and have been checked for hepatitis C and Wilson's. ...Read more

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Liver enymes high, ALT 105 and AST 69, have lost 51lbs and not overweight. Thought?

Liver enymes high, ALT 105 and AST 69, have lost 51lbs and not overweight. Thought?

Need a workup: Congratulations on your weight loss. You need to address the possible causes of the elevated liver enzymes. You may be asked to repeat the test off all medications and alcohol. If still up, we'll rule in-or-out hepatitis B and C, hemochromatosis, Wilson's, autoimmunity. This may simply be metabolic syndrome, perhaps best managed with a return to a fitness-focused lifestyle -- yours is a good start ...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

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Are these liver count numbers ok? AST 34, ALT 54, IFCC 92, G-GT 48. I was told I have a nonalcoholic fatty liver.

Are these liver count numbers ok? AST 34, ALT 54, IFCC 92, G-GT 48. I was told I have a nonalcoholic fatty liver.

Your AST, ALT & GGT: Are within normal limits. I can't comment on the IFCC. Liver enzymes are generally highest with acute inflammation or injury. Because it doesn't cause significant inflammation, liver enzymes may be normal in Non-Alcoholic Fatty Liver. It's important that your doctor diagnoses & treats the cause (s) of your NAFL b/c, without treatment, it can lead to cirrhosis (diffuse scarring) of the liver. ...Read more

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Elevated AST=48 ALT=83 with diffused fatty liver and slightly small liver size. What does it mean and how can it be treated?

Elevated AST=48 ALT=83 with diffused fatty liver and slightly small liver size. What does it mean and how can it be treated?

Reverse risk factors: Fatty liver is incredibly common, predominantly due to: high alcohol intake, diabetes, high cholesterol, obesity. The more of these risks you have, the greater the chance of fatty liver. Addressing these risks is an important step to correcting fatty liver. Distinguish hepatosteatosis (fatty liver) from steatohepatitis (fatty liver with abnormal liver tests that risks cirrhosis & liver cancer). ...Read more

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Liver problem. I am non alcolic. Age 31 my height 1.76. Weight 86. Alt 103 AST 46. No hepatit. Liver is not so big. What I must do?

Liver problem. I am non alcolic. Age 31 my height 1.76. Weight 86. Alt 103 AST 46. No hepatit. Liver is not so big. What I must do?

Find cause: Your physician may repeat this off all rx's, or proceed directly to testing for hepatitis b & c if not done already, hemochromatosis, wilson's, autoimmune hepatitis, and maybe a few others. If all negative, perhaps you're one of those folks for whom heavy-duty aerobic conditioning helps control elevated liver function tests and overall wellness. Good luck. ...Read more

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Between liver tests for ALT and ast, how many weeks should I wait after giving up alcohol to see if the liver has healed. Is 2 weeks enough?

Highly variable: This depends upon the extent of damage to your liver, the duration of your alcoholism and the underlying state of your liver to begin with. On top of that, if you are going to be using the alt and ast values improving as a reason to begin drinking again, this is of no value. Chronic hepatic damage leading to cirrhosis can occur with minimal elevations of enzymes or none at all. ...Read more

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Alt 142 AST 77 are these bad? Duagnosed with mild diffuse fatty infiltration of liver in july 2013 if enzymes keep rising does it means its worse

Not necessarily: The liver enzymes in non-alcoholic fatty liver disease can fluctuate up and down. It would be preferred, however, to see them return to normal, suggesting that the degree of fat in the liver has diminished to neglible levels. ...Read more

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Docter today am going to clinc just blood tast my age 30 (ast 54 u/l ALT 74) what the problam this liver disses some left side plase some pain

Docter today am going to clinc just blood tast my age 30 (ast 54 u/l ALT 74) what the problam this liver disses some left side plase some pain

Usually: Usually when I see patients with high liver function tests (ast & alt) it is due to a fatty liver, hepatitis, or side effect of a medication. The abdominal pain you are having is a little worrisome, this will likely need investigation with an abdominal ultrasound. I doubt liver diease is the case here, but a complete work up needs to be done in order to determine a cause.
Best of luck. ...Read more

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What to do if I have high AST & ALT liver enzyme results?

What to do if I have high AST & ALT liver enzyme results?

Depends on cause: If you drink alcohol, stop completely and entirely. Other causes of elevated liver enzymes are hepatitis, drug reactions, heart failure and auto-immune disorders. Please consult your doctor. ...Read more

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My AST is 44, ALT is 61 and my GGT is 104. Do I have a liver problem?

My AST is 44, ALT is 61 and my GGT is 104. Do I have a liver problem?

Possibly: Your alt and ast are mildly elevated, but your GGT is more moderately elevated. Ggt elevation is relatively nonspecific in that it does not give us a clear picture as to what is exactly wrong but does indicate that there is some liver damage being done. It has been linked to hepatitis, cirrhosis, alcohol abuse, and others. I would suggest a good sit down discussion with your doctor. ...Read more

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Is the AST:ALT ratio really that important in liver disease? Mine constantly fluctuates.

Serially monitor: A high AST/ALT ratio can be serially monitored to track alcoholic liver disease (eg cirrhosis). Fluctuation in a narrow range may be physiologic, but trends over time are more worrisome. See a hepatologist for further evaluation and discussion. Http://www. Clevelandclinicmeded. Com/medicalpubs/diseasemanagement/hepatology/guide-to-common-liver-tests/ ...Read more

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Recent blood test shows gpt/alt of 219 and got/ast of 85. Is there something wrong with my liver?

Possibly: Problems like these can only be correctly handled by your doctor in person. He/she needs to listen to you, perform an examination and possibly run labs or other tests. That's the only way he/she can find out what's going on and what to do about it. ...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 :)

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

Sgpt (Definition)

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


Sgot (Definition)

Has metabolic function, elevated if ...Read more