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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Elevated Enzyme Levels, High AST, ALT, Diagnosed With Fatty Liver. Treatment Options?

Hi, My name is XXXXX and my husband has some lab work done yesterday and his alt and ast is elevated to 618 for the ast and alt is 287 and since I am a nurse I am racking my brain out. He has been diagnosed with fatty liver and we have kept a eye on his enzymes and they have never been over 90. I have researched and he has DM,HTN.please help.email YYYY@YYYY
Thu, 18 Oct 2012
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General & Family Physician 's  Response
Hi, Welcome to HCM
Firstly Fatty liver i not a dangerous condition. It is the most common incidental finding found during Ultrasound scan of whole abdomen.
But the elevated GOT and SGPT indicates presence of some hepatocellular injury.
But in these conditions Billirubin levels are also becomes elevated. So, for total impression you have to give the other reports .
If all other are normal, then
1. Avoid rich diets,
2. Avoid alcohol.
3. take nutritional and balanced diet.
4. Consult with treating doctor for taking liver protective drugs.
5. Follow up the enzyme levels after 2 months.
Regards.
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Elevated Enzyme Levels, High AST, ALT, Diagnosed With Fatty Liver. Treatment Options?

Hi, Welcome to HCM Firstly Fatty liver i not a dangerous condition. It is the most common incidental finding found during Ultrasound scan of whole abdomen. But the elevated GOT and SGPT indicates presence of some hepatocellular injury. But in these conditions Billirubin levels are also becomes elevated. So, for total impression you have to give the other reports . If all other are normal, then 1. Avoid rich diets, 2. Avoid alcohol. 3. take nutritional and balanced diet. 4. Consult with treating doctor for taking liver protective drugs. 5. Follow up the enzyme levels after 2 months. Regards.