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Hi, Just Hit 43 With No Issues Of Live In

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Posted on Mon, 27 Jan 2020
Question: Hi, just hit 43 with no issues of live in the past, no family history, my AST and ALT after the first test was 41 / 59. Cut alcohol to a minimum, increased water intake and after the second test ALT went up to 81 with AST staying at 41. I do take 10mg of melatonin that I started this year, I have gained 15 lbs since retirement from the military I'm 74 inches and 229. I also take testosterone gel every other day. Any links or advice on how to reduce my AST/ALT.
doctor
Answered by Dr. Ramesh Kumar (3 hours later)
Brief Answer:
First we need to know the cause.

Detailed Answer:
Hello dear and welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice.

Firstly rise in liver enzes three times the upper normal limit is significant and needs medical attention. Just slight elevation usually has no medical significance.
Your mild derangement of enzymes seems to be related to fatty liver disease. It's a common thing post 30 years of age.One of the common symptoms of fatty liver can be mild to moderate(less then three times the upper normal limit) high enzyme level due to inflammation of the liver.
This inflammation leads to destruction of liver cells hence enzymes stored inside leaks into blood.

Recommended-
As advised by your doctor Ultrasound upper abdomen to rule out fatty liver disease.

Life style modification-
Lose some weigh by changing diet.
-Whole grains are very beneficial to consume.These can be in the form of XXXXXXX whole wheat bread or cereal, brown rice, whole grain pasta,grains such as whole oats, wild rice, rye, oatmeal and corn are also beneficial and can be taken if suits your fooding pattern.They are very healthy for liver.
-Fruits and vegetables should be a significant part of any diet to help in recovering from a liver problem. They are full of essential nutrients and are easy to digest.When on hepatitis recovery diet follow a high carbohydrate diet,Fat contents of diet should be very low.However Olive oil, canola oil and flaxseed oil are all healthy fats that are recommended.
-Healthy proteins in the form of low-fat milk and dairy products along with lean meats, beans, eggs and soy products can also be a part of a healthy liver diet.

Now lets move on to
Foods to Avoid
-Processed food items
-Hydrogenated oils
-Avoid alcohol and smoking.


Follow up with reports of ultrasound.
Hope I was helpful,
Thank you.



Above answer was peer-reviewed by : Dr. Raju A.T
doctor
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Follow up: Dr. Ramesh Kumar (3 hours later)
Could melatonin or testosterone gel cause this? Any instances or correlation?
doctor
Answered by Dr. Ramesh Kumar (24 minutes later)
Brief Answer:
Follow up.

Detailed Answer:
Hi again,
No they can't cause it
Regards!
Note: For further follow up on digestive issues share your reports here and Click here.

Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
Answered by
Dr.
Dr. Ramesh Kumar

Gastroenterologist

Practicing since :1986

Answered : 2913 Questions

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Hi, Just Hit 43 With No Issues Of Live In

Brief Answer: First we need to know the cause. Detailed Answer: Hello dear and welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Firstly rise in liver enzes three times the upper normal limit is significant and needs medical attention. Just slight elevation usually has no medical significance. Your mild derangement of enzymes seems to be related to fatty liver disease. It's a common thing post 30 years of age.One of the common symptoms of fatty liver can be mild to moderate(less then three times the upper normal limit) high enzyme level due to inflammation of the liver. This inflammation leads to destruction of liver cells hence enzymes stored inside leaks into blood. Recommended- As advised by your doctor Ultrasound upper abdomen to rule out fatty liver disease. Life style modification- Lose some weigh by changing diet. -Whole grains are very beneficial to consume.These can be in the form of XXXXXXX whole wheat bread or cereal, brown rice, whole grain pasta,grains such as whole oats, wild rice, rye, oatmeal and corn are also beneficial and can be taken if suits your fooding pattern.They are very healthy for liver. -Fruits and vegetables should be a significant part of any diet to help in recovering from a liver problem. They are full of essential nutrients and are easy to digest.When on hepatitis recovery diet follow a high carbohydrate diet,Fat contents of diet should be very low.However Olive oil, canola oil and flaxseed oil are all healthy fats that are recommended. -Healthy proteins in the form of low-fat milk and dairy products along with lean meats, beans, eggs and soy products can also be a part of a healthy liver diet. Now lets move on to Foods to Avoid -Processed food items -Hydrogenated oils -Avoid alcohol and smoking. Follow up with reports of ultrasound. Hope I was helpful, Thank you.