3 doctors weighed in:
My brother is 35, he has increased ALT levels 100, he has gained weight in 6 months & was on a junk diet for last 3 months. Rx? Advise diet too please
3 doctors weighed in

Dr. Andrea Bretal
Internal Medicine
In brief: Diet and exercise
He needs to change his diet, increased in liver enzymes in this case could be an indication of fatty liver.
More than a diet is a change in lifestyle. The diet would be less processed food and more fresh foods like vegetables, fruits, whole grains, beans, meat with no fat, chicken without skin and no fried, everything baked, broil or grilled, dairy products 1% or fat free. www.choosemyplate.gov.

In brief: Diet and exercise
He needs to change his diet, increased in liver enzymes in this case could be an indication of fatty liver.
More than a diet is a change in lifestyle. The diet would be less processed food and more fresh foods like vegetables, fruits, whole grains, beans, meat with no fat, chicken without skin and no fried, everything baked, broil or grilled, dairy products 1% or fat free. www.choosemyplate.gov.
Dr. Andrea Bretal
Dr. Andrea Bretal
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Dr. Allen Seely
General Practice
In brief: MILD HEPATITIS
An alt (liver enzyme) elevation is a sign of liver inflammation or hepatitis.
If diet has been poor (w/ weight gain) a possibility is pre-diabetes/ 'fatty liver disease' (nash) if alcohol intake is moderate, alcoholic hepatitis/fatty liver is possible. He may need further testing: ultrasound and labs for viral hepatitis hemochromatosis, auto-immune hepatitis....Avoid alcohol, hi carbs, fats.

In brief: MILD HEPATITIS
An alt (liver enzyme) elevation is a sign of liver inflammation or hepatitis.
If diet has been poor (w/ weight gain) a possibility is pre-diabetes/ 'fatty liver disease' (nash) if alcohol intake is moderate, alcoholic hepatitis/fatty liver is possible. He may need further testing: ultrasound and labs for viral hepatitis hemochromatosis, auto-immune hepatitis....Avoid alcohol, hi carbs, fats.
Dr. Allen Seely
Dr. Allen Seely
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Dr. Keegan Duchicela
Family Medicine
In brief: Elevated liver tests
Usually, when we see an otherwise healthy person with elevated liver tests, we want to make sure nothing more serious is going on, other than having a "fatty liver".
We would have them abstain from alcohol, recheck labs in about 2-3 months, including hepatitis labs and some others. I wouldn't attribute abnormal liver tests solely to poor diet and weight before a more thorough workup is done.

In brief: Elevated liver tests
Usually, when we see an otherwise healthy person with elevated liver tests, we want to make sure nothing more serious is going on, other than having a "fatty liver".
We would have them abstain from alcohol, recheck labs in about 2-3 months, including hepatitis labs and some others. I wouldn't attribute abnormal liver tests solely to poor diet and weight before a more thorough workup is done.
Dr. Keegan Duchicela
Dr. Keegan Duchicela
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