Suggest Remedy For Elevated ALT Levels

Posted on Fri, 30 Jan 2015

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

Fri, 30 Jan 2015 Answered on

Fri, 27 Feb 2015 Last reviewed on

Question : I'm 43, overweight, but otherwise in excellent condition. My Total chol = 235, trig = 160, HDL = 53. My ALT level came back "slightly elevated, which is very common. COuld be the result of alcohol, tylenol or some over the counter med". My ALT = 67. AST = 36, Alkaline phos = 70, bilirubin = 1.1. Is my ALT something I need to worry about? By the way, I had taken a baby aspirin that morning and had fasted for about 14 hours before blood was drawn.

Answered by Dr. Divakara (2 hours later)

Brief Answer:
Nothing to be concerned.

Detailed Answer:
HI

Greeting from Dr. Divakara.P
First of all thanks for choosing Healthcaremagic for posting your query.

I need to know how alcohol you consume ? and How much dose of Tylenol you have taken ?

NO your ALT is not of much concern but we need to evaluate the cause once I come to the dose of your Alcohol intake . If I feel your alcohol intake is not significant then I shall advise some tests to check for cause of raised ALT .

Kindly revert back with details asked.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Divakara (9 minutes later)

I had taken 82 mg approx 3 hours before blood was drawn.

I drink 1-1.5 glasses of wine every night.

Answered by Dr. Divakara (46 minutes later)

Brief Answer:
Repeat Test after 2 weeks.

Detailed Answer:
HI

Your Alcohol intake is quite significant to cause a raise in ALT levels but alcohol intake increases both ALT and AST levels . Infact it increases AST more than ALT such that the ratio of AST to ALT will be more than 2 .

So more than alcohol it could be your Aspirin or Tylenol intake . My advise to you is to reduce your alcohol intake. Thats enough for the time being .

Also repeat AST, ALT after 2 weeks and revert back .

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar