Doctor insights on:
What Does A High Liver Count Mean
Transaminitis?: Not sure what you mean by the "liver level" but but liver enzymes commonly measured in the blood are called transaminases 9eg. Ast, alt) and when they are elevated it suggests there is inflammation of the liver and this can be on the basis of many possible causes including alcohol, fatty chage, hepatitis (infectious, autoimmune, vascular) or drugs. Good luck! ...Read more
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
What markers?: The liver's health is measured by labs, x-ray, and biopsy. Simplistically, transaminases (ast, alt) measure liver cells, alkaline phosphatase and bilirubin measure the biliary tree, Albumin and coagulation panel measures liver synthetic function, alpha-feto protein is a cancer marker of the liver. Viral, inflammatory, autoimmune, familial liver diseases have their own specific tests. ...Read more
Misunderstanding: Perhaps your physician has told you that the liver enzymes are elevated. You'll be asked to have them repeated when you're not taking your usual meds or alcohol (if applicable), and if they're still up, you'll be worked up for serious illness (hepatitis b ; c, hemochromatosis, wilson's, a few others). They may just be up because you need more exercise. Best wishes. ...Read more
Elevated transaminas: Could be due to intrinsic liver diseases like hepatitis A, B, C, or due to alcohol or cholestatic picture like Gall bladder disease or common bilary obstruction or pancrease (pancrelipase) diseases. Knowing the liver enzyme levels will help narrow down the differentials ...Read more
Depends. . .: It depends upon which liver enzymes were elevated. High bilirubin suggests blockage or obstruction of the biliary tract. High alt & ast suggest fatty liver or excess alcohol consumption. High protein may be multiple myeloma. Toxic amounts of Acetaminophen (tylenol) can also elevate liver enzymes. Ask physician who ordered test for his/her interpretation & what to do next (possibly ultrasound). ...Read more
Inflammation: Of the liver, also known as hepatitis. ...Read more
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
Find the cause: Repeating them when the person is off alcohol and unnecessary medications is often the best plan. If they're still up, you'll get a workup for hepatitis b and c, hemochromatosis, wilson's and maybe a few others. If you're clear of these, think about getting back into serious aerobic fitness. Best wishes. ...Read more
Liver inflammation..: Liver enzyme elevation usually is a sign your liver is inflamed or irritated. There are many potential causes the most common of which is fatty liver disease. Fatty liver may herald more serious problems like Insulin resistance, metabolic syndrome and type 2 diabetes. Weight loss is effective at melting the fat away and normalizing liver enzymes. Good luck! ...Read more
Function compromised: The liver metabolized hundreds of metabolites in the body. If the liver is over-burdened, poisoned, infected, or replaced by tumor, it can result in elevation of liver enzymes (sgot, sgpt, alkaline phosphatase, bilirubin). Something as simple as have 3 glasses of wine can cause elevation, but a hepatitis a is much more serious. The cause of elevation needs to be identified. ...Read more
Not good...: Your transaminitis (elevated liver enzymes) indicates, albeit non-specifically, a sick liver. Whether this is transient (related to medication, alcohol ingestion, a passed gallstone, etc.), or is indeed of concern (e.g. Hepatitis of any cause, fatty liver secondary to diabetes, etc.) you deserve evaluation or at least a lab recheck to assess trends or resolution. No Tylenol (acetaminophen) or alcohol please 4now. ...Read more
Abnormal: Liver enzymes are found in the liver cells. If the cells are injured, the enzymes leak into the blood and the blood level increases. This can mean there is injury to the liver (hepatitis). These enzymes are also found in muscle, so heavy exercise (body builders) can have elevated levels as well. If your enzymes are elevated, it is abnormal and further testing should be done. See your doctor. ...Read more
Liver cell damage: Blood tests for enzymes that are principally made by the liver can show evidence for liver cell damage from infections or toxins. Some of these enzymes have other sources, such as muscle, so one must know about several such enzyme levels to conclude that they are high due to liver damage. Consult your doctor as to why your blood tests are abnormal. ...Read more
Dr says my glucose levels high and liver levels are slightly high what does this all mean and what will be done next?
Glucose: It could mean you have pre-diabetes or diabetes. There are many reasons why liver enzymes will be high but in someone with glucose elevation, fatty liver is also a possibility. I would work closely with your doctor to get the risk factors under control. Discuss all this with the doctor who ordered the tests for you. Good luck. ...Read more
My b12 levels are always 1200-1300 and my alanine levels are high. Does it neccesarily mean something is wrong with the liver?
Maybe: Elevated B12 means nothing. You're making more of the binder protein for some reason. Nobody measures alanine, but if your alanine amino transferase (ALT / SGPT) levels are up, you'll want to know why -- if it's not alcohol, you may have a medication allergy, a viral hepatitis, iron overload, Wilson's, autoimmune hepatitis, or it may be your body's way of asking for more exercise. ...Read more
Elevated LFT's: There are 2 kinds of liver enzyme abnormalities--that signal disease of the liver cells or of the bile ducts.Abnormal liver tests may reflect fatty liver, too much alcohol, toxic exposure, occupational exposures, lot's of viral infections, metabolic problems, familial liver diseases, as well as problems with gallbladder, bile ducts, & pancreas. Suspicion of these conditions warrants a liver panel. ...Read more
ALT is 48 (elevated) but all other levels pertaining to the liver are normal. Does this mean that my liver is failing?
Should I be concerned if my bilirubin in my liver has been elevated slightly for the past 3 and a half months, what could it mean?
Maybe: If it is primarily conjugated bilirubin and this is your only abnormality, it's likely you have gilbert's non-disease and should forget about it. I take it your physician isn't worried; you shouldn't be either. You may get checked for hemolysis with a reticulocyte count. If you're taking some medication and this is new, you may have rx-induced cholestasis. Other possibilities exist. ...Read more
Slow going.: Probably means that the liver disease you have is very stable or at least progressing slowly. This could be seen with many different types of liver disease - hemochromatosis. fatty liver, chronic hepatitis, alpha 1 antitrypsin, chronic alcohol or med use, etc. Really could be just about anything ...Read more
Warning: It means that liver is telling you that I am suffering. Stop drinking alcohal, stop smoking, reduced fat in your food is needed. ...Read more
Depends: There are several reasons this may happen, without knowing if your other tests are normal or not, and without a good history and exam, it's very difficult to give you good, sound advice. ...Read more
Will high ALT (76) affect alcoholic metabolism by liver? I mean time taken to metabolize compared to normal person.
See below: Can't say with certainty but most likely effects will be minimal. ...Read more
High b12 for many years until last test level was in middle, does this mean my liver is doing better? All fasting morning tests and same b12 vitamin
We ingest most of: Our B 12 from meat, especially red meat. Are you presently eating less meat? That would account for it. If your B 12 was high, I don't understand why you were taking this supplement. Peace and good health. ...Read more
US showed Homogeneous liver at 16.5 cm. My ALT is 70 with all other values normal. Over last couple years my ALT value follows Cholesterol. If one is high so is the other. Does that mean I have NAFLD?
I don't think so: The most reassuring thing in your question is that your liver was homogeneous on ultrasound. An ultrasound will often show a typical fatty liver. I believe the elevation of both ALT & cholesterol could be linked eating a higher fat and/or carbohydrate (including alcohol) diet as well as increased weight, if applicable. Optimize diet and weight and hopefully labs will normalize. Good wishes:) ...Read more
My doctor said my liver levels are sightly high and so is my glusose. What does it mean and what should be done next?
Repeat test.: Test should be repeated to confirm findings. Additional test such as HGB a1c, lipid panel may be helpful as well. ...Read more
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