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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Could My Elevated ALP, ALT, And GGT Indicate Fatty Liver Despite Reduced Alcohol Intake

My alp has been 150-155 over past 3 months however alt was normal and within range . This time alp is 155 , alt is 54 and ggt ( tested for first time ) is 70 . I used to drink moderately before but have reduced drinking drastically (average 2 pints of beer a week ) over past 3 months. Can this be fatty liver ?My hepatitis A,b and c are all negative on blood tests however it was found that was infected by hep A in the past.
Thu, 3 Apr 2025
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General & Family Physician 's  Response
Hi,

As all your values of ALP, ALT as well as GGT are beyond the reference range, therefore any liver pathology can not be ruled out. Definitely, this may be fatty liver. As you have been drinking for a long time, therefore a possibility of Alcoholic Liver Cirrhosis can not be ruled out.

Hence you are advised to continuously monitor your liver function tests under guidance of your doctor. Imaging with fibro-scan of liver may also be indicated in your case to reach at a definitive diagnosis.

Take care. Hope I have answered your question. Let me know if I can assist you further.

Regards,
Dr. Satnarain Bansal, General & Family Physician
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Could My Elevated ALP, ALT, And GGT Indicate Fatty Liver Despite Reduced Alcohol Intake

Hi, As all your values of ALP, ALT as well as GGT are beyond the reference range, therefore any liver pathology can not be ruled out. Definitely, this may be fatty liver. As you have been drinking for a long time, therefore a possibility of Alcoholic Liver Cirrhosis can not be ruled out. Hence you are advised to continuously monitor your liver function tests under guidance of your doctor. Imaging with fibro-scan of liver may also be indicated in your case to reach at a definitive diagnosis. Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Satnarain Bansal, General & Family Physician