
What Causes Deranged ALT/AST Level?

Probably due to Atorvastatin
Detailed Answer:
Dear Friend.
Hi , I am Dr Anshul Varshney , I have read your query in detail , I understand your concern.
I can find a cause for deranged ALT/AST from the history you have provided.
The cause could be Atorvastatin, specially at such high dose, can cause derangement of Liver Function tests.
Another possibility for this derangement could be Hemochromatosis in your case as you said that you have high iron content in your blood.
I would like to know a few more details:
1. Alcohol consumption?
2. Why have you been on high dose Atorvastatin? And since when?
3. Have you ever got your Liver Function tests done earlier, if yes please mention the results.
4. Why did you go for Liver Function Tests? Any specific reason? Or just routinely?
This is my personal opinion based on details available here. If you still have any query you may please ask me.
Stay Healthy.
Dr Anshul Varshney , MD


Higher dose was to get Cholestorol under control started with 20 mg and then doctor upped the dose. All in all about 4 years with higher dose - other years soff an on with lower doses. the medicine prescribed is Caduet 2.5/40.
First time with LFT normally just received routine blood tests. but Liver ALT never mentioned since not out of range. This is first year. LFT was a follow up to normal blood test which yielded an ALT of 49. Would the green smoothie diet over two weeks cause any spikes in ALT if its natural organic vegetables with no supplements like I mentioned earlier? Thanks
No relation with green or natural organic diet.
Detailed Answer:
Dear Friend.
See you have to understand.
You have 2 main reasons for rise in liver enzymes that can act together to produce such derangement.
1. Atorvastatin
2. Alcohol intake. Even beer because you are taking Atorvastatin that is already affecting your liver.
Excessive intake of green vegetables can't harm your liver nor organic vegetables.
I would advice you to discuss with your doctor regarding reducing the dose of Atorvastatin.
Also I would advice you to avoid alcohol intake.
Also get an Ultrasound Abdomen done to see for liver status.
If you would get a repeat LFT done it might cone normal but that doesn't mean that your liver is now normal.
Discuss my opinion with your doctor I am your he will agree to this.
If you have any further query please ask me, else you may close the discussion and rate it.
Stay Healthy.

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