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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Could Cause Elevated Level Of ALT With Low GGT?

Background info to work with: I began with a full blood panel for Life Insurance. Have no pain or issues that I know of.

All Hepetitis neg, glucose 80, bilirubin .85 etc.

Everything looked good except liver functions. AST was 28 good but ALT(SGOT) = 49 and GGT = 162.

This disturbed me since range for ALT from lab was 0-45 and GGT range was 2-65. This places me int a higher risk catoagory more money for insurance that not good. I understand labs sometimes vary and people vary some as well as always. So I had Second test (about month later)but this time non fasting but they forgot to test the GGT results AST/SGOT = 38 and ALT/SGPT=49 again everything else good. Then about three weeks after that had them test ALT/SGPT =82 and GGT = 99.

Also then had a ultrasound of all just to be sure nothing could be seen on film. Film and report everything looked healthy.

Can you tell me possibly why the ALT would be at 49 twice then spike up to the 82 level and the GGT went down. Drinking not a factor. I drink but occasionally.
Fri, 2 Jan 2015
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Hematologist 's  Response
Hi, dear
I have gone through your question. I can understand your concern. Your SGOT level is slightly high. It can be just a normal variation. Or may be due to some alcohol, drugs or toxins. No need to worry at all. GGT level rise in gall bladder disease or bile stasis. In your case no need to worry at all. You have gone through all tests. Just be relaxed. No any treatment is required.
Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using health care magic. Wish you a very good health.
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What Could Cause Elevated Level Of ALT With Low GGT?

Hi, dear I have gone through your question. I can understand your concern. Your SGOT level is slightly high. It can be just a normal variation. Or may be due to some alcohol, drugs or toxins. No need to worry at all. GGT level rise in gall bladder disease or bile stasis. In your case no need to worry at all. You have gone through all tests. Just be relaxed. No any treatment is required. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using health care magic. Wish you a very good health.