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What Does High ALT Level Indicate?

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Posted on Mon, 21 Apr 2014
Question: I just received an elevated ALT result of 259 (I was not told the AST number although the doctor did mention that it was also elevated). I have been eating poorly and drinking more frequently than I should. I am approximately 15 pounds overweight and am a 38 year old female. By eliminating alcohol and increasing exercise, when could I expect a decrease in these levels on a best case scenario? My doctor said that I could go for another blood test after a week and I am wondering if this is a reasonable expectation.
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Answered by Dr. Anshul Varshney (1 hour later)
Brief Answer: Alcoholic Hepatitis. Detailed Answer: Dear Friend. Welcome to HCM. I am Dr Anshul Varshney. I understand your concern. In fact I am glad that you have decided to stop all these activities that are causing problems. Rise in ALT and AST is probably due to alcohol intake. However you should get following more investigations to rule out other causes and also to see condition of liver: 1. Ultrasound Abdomen 2. Complete LFT 3. Viral Markers. 4. Lipid profile If you leave alcohol completely and do regular exercises I expect that your enzymes would come down to normal within 3 weeks. You don't have any scope of consuming alcohol further. If you have been eating poorly too then also I suggest you to take Thiamine supplement for a month. This is my best advise for you. If you have any further query please ask me. Stay Healthy.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Follow up: Dr. Anshul Varshney (7 minutes later)
What I understand from your answer is that even once my levels return to normal I may not have even limited amounts of alcohol?
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Answered by Dr. Anshul Varshney (3 hours later)
Brief Answer: I advise you not to take alcohol. Detailed Answer: Dear Friend. See, your enzyme levels are increased because you consume alcohol, if you stop alcohol your enzymes would settle, but if you start taking alcohol again, they will again rise. That is my personal advise for you. Choice is yours. A good health and happy life or a poor health and later dependent life! If you have no further query, please close the discussion and rate it
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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Anshul Varshney

Internal Medicine Specialist

Practicing since :2009

Answered : 3071 Questions

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What Does High ALT Level Indicate?

Brief Answer: Alcoholic Hepatitis. Detailed Answer: Dear Friend. Welcome to HCM. I am Dr Anshul Varshney. I understand your concern. In fact I am glad that you have decided to stop all these activities that are causing problems. Rise in ALT and AST is probably due to alcohol intake. However you should get following more investigations to rule out other causes and also to see condition of liver: 1. Ultrasound Abdomen 2. Complete LFT 3. Viral Markers. 4. Lipid profile If you leave alcohol completely and do regular exercises I expect that your enzymes would come down to normal within 3 weeks. You don't have any scope of consuming alcohol further. If you have been eating poorly too then also I suggest you to take Thiamine supplement for a month. This is my best advise for you. If you have any further query please ask me. Stay Healthy.