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What Causes Elevated Transaminases Levels?

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Posted on Fri, 5 Jun 2015
Question: I am a 53 year old man 5ft 11 inches tall.I work out and was diagnosed with fatty liver a few years ago.My Doctor ordered a sonogram and discovered some fat because of my elevated Alt.I work out at least 3 times a week.I was told I have lost 10 Lbs.225 to 215 and have a a total of 85 Lbs of muscle.I have lost 2 percent body fat.My last physical was April of 2014 and my Alt was 55?My current physical shows an Asa of 33 .My bilirubin is 0.8.My Hemoglobin is a little high at 6.1 on a scale of 4.8. -5.6.My Insulin is 29.7 on a range of 2.6-24.9.Glucose is a little higher at 112 on a scale of 65-99.Why has my Alt was 72? Why would it jump so much from last year and is an indication of liver damage,Concerned I have damaged liver.I have changed diet and do not eat fast food nor do I drink.Everything else seems normal on the report.I take Valium for pelvic pain syndrome and a multivitamin.Cut back on soft drinks and I am drinking more water.My Doctor just said lose weight.I do not smoke. Thanks
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Answered by Dr. Benard Shehu (4 hours later)
Brief Answer:
You shouldn't worry, continue with diet and lifestyle changes.

Detailed Answer:
Hi and thank you for asking!
I read your query and understood your concerns.

After reviewing your data I would like to say that your transaminases are slightly elevated (especially your alt that is more elevated compared with last results ) due to fatty liver disease and pre diabetes. This is why your transaminases are slightly more elevated from the last examinations.

These two conditions are associated with impaired fasting glucose tolerance and slightly elevated transaminases. However you shouldn't worry to much about that the only measures you should take are changes in lifestyle and diet.

I would recommend as follows:
- continue with healthy diet
- avoid animal fats and
- eat less suggar and plenty of vegetables and salads
- eat three times a week white meat or fish
- increase physical activity and sports
- reduce alcohol intake to a glass of wine per day
- quit smoking

Hope this was of help!
Wish your health!
Dr. Shehu
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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Benard Shehu

Cardiologist

Practicing since :2004

Answered : 2257 Questions

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What Causes Elevated Transaminases Levels?

Brief Answer: You shouldn't worry, continue with diet and lifestyle changes. Detailed Answer: Hi and thank you for asking! I read your query and understood your concerns. After reviewing your data I would like to say that your transaminases are slightly elevated (especially your alt that is more elevated compared with last results ) due to fatty liver disease and pre diabetes. This is why your transaminases are slightly more elevated from the last examinations. These two conditions are associated with impaired fasting glucose tolerance and slightly elevated transaminases. However you shouldn't worry to much about that the only measures you should take are changes in lifestyle and diet. I would recommend as follows: - continue with healthy diet - avoid animal fats and - eat less suggar and plenty of vegetables and salads - eat three times a week white meat or fish - increase physical activity and sports - reduce alcohol intake to a glass of wine per day - quit smoking Hope this was of help! Wish your health! Dr. Shehu