I am a 26 year old male who had my ALT drawn 4 days after binge drinking. I hardly ever drink, but the week prior to my test had friends visiting and was drinkin 2 beers a day and 4 days prior to my test I had 5 beers in one night. ALT was 101. I then had my test repeated 4 days later, and my ALT was 43. The rest of my enzymes were normal. Hep A,B,C negative. Suffered a needle stick 6 months ago in the OR, and have been following up for HIV tests and Hep C tests including antibody test and PCR. All negative. Could one binge 4 days prior to my test cause an ALT of 101?