Hello and thank you for asking HCM.
I have read the report of your husband,and I understand your concerns.
First i want to say to not worry about the ALT level of 47.
There are a lot of reasons why a healthy patient,has elevated ALT.
-very strenuous exercise or severe injury to a muscle (your husband walks a lot,exercise)
-medicines, such as statins, antibiotics,
aspirin,
acetaminophen (
paracetamol)
-alcohol (your husband has 1 or 2 glasses of wine per week)
-
fatty liver ect
If i was your doctor,i would recommend to have a low fat diet, fresh fruit and vegetables, plenty of water and change the white wine with the red one,because of its ability to protect the heart. He is doing a healthy life with the walks.
He needs to do another
blood test after 1 month or more to check the ALT/AST levels. But as i said ,a level of 47 is normal,so don't worry at all.
If you have any other question,feel free to ask me.
Dr.Endri Katro