
What Causes Chronically High AST And ALT Levels?

Increased ALT and GGT may indicate liver injury.
Detailed Answer:
Hello
Increased ALT and GGT may indicate liver injury.It may be due to many reasons like hepatitis,alcohol intake,altered lipid profile,auto immune causes,drug toxicity etc.
It is important to know about alcohol history.
AST is non specific and it increases in many conditions.
You may need few more investigations like routine hemogram,random blood sugar,lipid profile,renal function test,alkaline phosphatase,bilirubin level etc.
You may need biopsy of liver as many investigations are negative.
I suggest tablet ursodeoxycholic acid 300 mg twice daily for three months to my patients.It helps in regeneration of liver cells.
Increased TIBC may be due to iron deficiency anemia,liver injury etc.
Get well soon.
Hope I have answered your question.
Further queries are most welcome.
Take Care
Dr.Indu XXXXXXX

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