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What Causes Elevated ALT Levels While On Very Low Calorie Diet?

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Posted on Fri, 4 Sep 2015
Question: My ALT liver enzyme is 107 - 1st time mildly elevated. All of my other blood test levels are normal. I have been on a very low calorie diet and injecting HCG. I have also started taking 1000 mg of magnesium every night. Could the elevated liver enzymes be a result of the VLCD, the HCG, the Mg, or all three? I'm not morbidly obese - 190 lbs....
doctor
Answered by Dr. Prashant (37 minutes later)
Brief Answer:
Its not related to HCG OR Mg

Detailed Answer:
Hi,

Elevated ALT may be due to other cause like fatty liver, viral hepatitis or some other autoimmune causes untill and other wise proved.
We need to think of all those things and treat only when there is persistent elevation of ALT.
Now if you are obese try to lose weight ,and cut down oily food with regular exercise should help you in reducing Alt levels.
Even after all the above still there is elevation of ALT levels we need to investigate for the cause.
Some time its idiopathic too

Hope this information helps you
thank you
Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
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Follow up: Dr. Prashant (32 minutes later)
So if I continued on another set of injections of HCG in a month - it should not effect the ALT levels? Basically, the weight loss should help?? I am getting new blood tests done in one month and will not be taking any new medications during that time. With all of my dietary changes the last month with loosing weight (have lost 16 lbs in a month), I too thought it could be idiopathic since everything else is normal. Thanks
doctor
Answered by Dr. Prashant (12 minutes later)
Brief Answer:
you can continue with your injections

Detailed Answer:
Hi,
Just maintain your diet and regular exercise should help you .
Repeat ALT after 3 months if its coming down then no need to worry.
Hope this information help you
thank you
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Above answer was peer-reviewed by : Dr. Raju A.T
doctor
Answered by
Dr.
Dr. Prashant

Gastroenterologist

Practicing since :2009

Answered : 289 Questions

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What Causes Elevated ALT Levels While On Very Low Calorie Diet?

Brief Answer: Its not related to HCG OR Mg Detailed Answer: Hi, Elevated ALT may be due to other cause like fatty liver, viral hepatitis or some other autoimmune causes untill and other wise proved. We need to think of all those things and treat only when there is persistent elevation of ALT. Now if you are obese try to lose weight ,and cut down oily food with regular exercise should help you in reducing Alt levels. Even after all the above still there is elevation of ALT levels we need to investigate for the cause. Some time its idiopathic too Hope this information helps you thank you