
Elevated ALT, Gamma GT. Fatty Liver. High Cholesterol Levels, Protein In Urine. What Would Be The Reason?

Thanks for posting your query.
Elevated GGT levels can indicate numerous serious health conditions, especially cholestastic, or blocked bile ducts, liver disease,fatty liver or , liver scarring or a tumor. GGT is particularly sensitive to alcohol, and it is elevated in alcoholism and the use of medications and drugs.
Any injury or inflammation in liver can cause elevated ALT.
Cholesterol level when high and associated with elevated liver enzymes can be suggestive of an underlying cardiovascular problem, metabolic syndrome or alcoholic or fatty liver.
So considering your reports ,It may most probably mean that you have an underlying fatty liver or hyperlipidemia causing such enzyme levels however further investigation is necessary to rule out risk of cardiovascular problems like atherosclerosis.
Rest of your reports though borderline are to be considered normal.
It's good that you have an appointment with your doctor who may after thorough evaluation order few more investigations like ultrasound abdomen, echocardiogram , stress test , hb1ac ( better test to rule out diabetes), etc to confirm the diagnosis and rule out any significant problem .
Meanwhile he may advise either lipid lowering agents or dietary modifications for controlling the hyperlipidemia ( cholesterol) .
It's good that you lead an active and healthy lifestyle which is best for you considering you have a family history of diabetes and hypertension.
Please do not worry as the present situation is not worrisome but just warrants further investigation and precautionary measures if any significant cardiovascular risk found.
Hope I have answered your query.
Wishing you good health .
Regards


Thanks for the follow up.
Considering you have a history of gall stones , there is a possibility of a partial obstruction of bile ducts which can cause the elevation of liver enzymes.
So it's advisable you consult a gastroenterologist or your surgeon to reevaluate the present status of the fall stones by ultrasound etc .
If its fatty liver you can try the following ,
1. Cessation of alcohol consumption altogether.
It has been noted that many people who drink alcohol and have this condition have seen a reversal in the fatty liver once they stop consuming excessive alcohol.
2. Avoid these medications or consult doctor before starting any medication.
medications that are known to elevate liver enzymes and create a fatty liver include: amiodarone, methotrexate, high doses of vitamin A, tetracycline, cortisone, phosphorus, and prednisone .
3.Continue your exercise but remember weight loss should be achieved safely at 1-2 lbs per week for optimal results.By exercising regularly (at least 30 minutes daily, 3-5 days per week) and consuming a diet that is low in fat and properly nutritionally balanced, it is possible to reverse the condition and to return the liver to its normal functionality.
4.As such there is no specific treatment and medications are not effective on this condition; however, it is sometimes recommended that taking a L-carnitine dose of 340 mg twice a day, or lecithin and choline, to potentially decrease the severity of a fatty liver.Personally I do not think its necessary inyour case , however you may discuss out with your physician.
Hope this answers your query.
Kindly accept my answer if you have no further queries.
Regards

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