Five Years Ago My Liver Enzymes XXXXXXX To 86. I

Posted on Thu, 13 Aug 2020

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Thu, 13 Aug 2020 Answered on

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Question : Five years ago my liver enzymes XXXXXXX to 86. I was taking tylenol for a bad back so I accredited that to that number. I went back for bloodwork, and it went down to 22. Over the next five years its been consistently low. I gained weight, and was up to 200 pounds this past year. I lost 25 pounds. I was taking diet supplements for about 3 months. I recently put on 10 pounds due to covid 19 stay put.I was cooking and eating a lot. Last week I over did the eating. I ate a lot of candy and other carbohydrates.Yesterday I went for my bloodwork. My ALT was 98 and my AST was 44. The dr. thinks it is fatty liver and wants me to get an ultrasound. Could it be anything else? He said not to worry and the ultrasound is just to make sure it is nothing more than fatty liver. What more could it be? Could the supplements I took cause damage? Can the damage be reversed? thanks for any input

Answered by Dr. Dr.Dorina Gurabardhi (1 hour later)

Brief Answer:
Elevated liver enzymes are explained below in details.

Detailed Answer:
Hello dear and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice.

Based on my daily practice, elevated liver enzymes can be related to these common diagnoses:
-Fatty liver
-Hepatitis
-Using too much medication such as anti inflammatory medications. Some supplements can also elevate the level of the liver enzymes.

So, to answer your queries:
1) Beside fatty liver you should also exclude hepatitis through examinations.
2) The supplements can also be the cause of the liver inflammation and elevation of liver enzymes.
3) Most of the time, elevated liver enzymes are not related to a serious liver problem and can be reversed through proper treatment.

Hope I have answered your query. Let me know if I can assist you further.

Kind regards!

Dr.Dorina Gurabardhi
General &Family Physician

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Dr.Dorina Gurabardhi (26 minutes later)

Would changing my diet to low carb and no sugar lower my ALT?

Answered by Dr. Dr.Dorina Gurabardhi (6 hours later)

Brief Answer:
Low carb diet can be helpful.

Detailed Answer:
Hi again dear,

Low carb diet can be helpful to lower the ALT level, especially if the cause is fatty liver.
It is also important to exercise daily and lose some weight.

Hope it helps dear.
Take care,
Dr . Dorina Gurabardhi

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. Dr.Dorina Gurabardhi (33 hours later)

The range of ALP at my lab is 9-122.
My level is 123. So my ALT is 98 and AST is 44. Could this signify anything worse?

Answered by Dr. Dr.Dorina Gurabardhi (11 minutes later)

Brief Answer:
The ALP level is slightly elevated and indicates a liver issue.

Detailed Answer:
Hi again dear,

Your ALP level is slightly elevated.
It is usually elevated in patients with liver issues.
So, this examination may indicate fatty liver.
The ultrasound is needed to confirm the diagnosis.

Hope it helps dear.
Take care,
Dr. Dorina Gurabardhi

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Above answer was peer-reviewed by : Dr. Yogesh D