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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does This Blood Test Result Indicate For Recurring Cold And Fatigue?

I just had blood work today and my AST was 64, ALT 57. I have had back to back colds (2) since March 20th with cold sores. I have a history of a bad case of mono when I was 18. I do drink a glass of wine with dinner and did so a few times when I was sick. I have been feeling generally fatigued as well. ( I am 59 years old). I did read that there could be a connection between the Epstein Barr virus and liver issues later in life.
Sat, 22 Apr 2023
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General & Family Physician,  's  Response
Hi,

AST (aspartate aminotransferase) and ALT (alanine aminotransferase) are enzymes that are primarily found in liver cells. Elevated levels of these enzymes in the blood can indicate liver damage or inflammation. The normal range for AST is 10-40 U/L and for ALT is 7-56 U/L. Your results indicate that both AST and ALT are slightly elevated.

The presence of back-to-back colds, cold sores, and fatigue could suggest that your immune system is weakened, which could be related to the slightly elevated AST and ALT levels. While there is a connection between the Epstein-Barr virus and liver issues later in life, there could be other factors contributing to your symptoms and elevated liver enzymes.

Drinking alcohol can also lead to elevated AST and ALT levels, so it is important to consider your alcohol consumption as a possible contributing factor. It would be helpful to discuss your blood test results and symptoms with your healthcare provider, who may recommend further testing or refer you to a specialist if necessary which will help develop an appropriate treatment plan.

Take care. Hope I have answered your question. Let me know if I can assist you further.

Regards,
Dr. Priyanka, General & Family Physician
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What Does This Blood Test Result Indicate For Recurring Cold And Fatigue?

Hi, AST (aspartate aminotransferase) and ALT (alanine aminotransferase) are enzymes that are primarily found in liver cells. Elevated levels of these enzymes in the blood can indicate liver damage or inflammation. The normal range for AST is 10-40 U/L and for ALT is 7-56 U/L. Your results indicate that both AST and ALT are slightly elevated. The presence of back-to-back colds, cold sores, and fatigue could suggest that your immune system is weakened, which could be related to the slightly elevated AST and ALT levels. While there is a connection between the Epstein-Barr virus and liver issues later in life, there could be other factors contributing to your symptoms and elevated liver enzymes. Drinking alcohol can also lead to elevated AST and ALT levels, so it is important to consider your alcohol consumption as a possible contributing factor. It would be helpful to discuss your blood test results and symptoms with your healthcare provider, who may recommend further testing or refer you to a specialist if necessary which will help develop an appropriate treatment plan. Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Priyanka, General & Family Physician