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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Can high Triglycerides increase the ALT count?

Answered by
Dr.
Dr. Ratnakar Kini

Gastroenterologist

Practicing since :1996

Answered : 1953 Questions

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Posted on Tue, 3 Oct 2017 in Digestion and Bowels
Question: Hi Doctor,

My name is Mxxxxxy XXXXXXX and I am a 34 year old male. Over the past few years I have gained weight, almost 10 kilos (currently I am 88 kgs).

I have recently done my Master Health Check-up and following are my Cholesterol and Liver test results-

Heart (Cardiac)
Blood Tests as of 29 XXXXXXX 2017

Cholesterol Total 202
(Desirable <=200 mg/dL)

HDL Cholesterol 56
(Desirable >40 mg/dL)

Triglycerides 282
(Desirable <150 mg/dL)

T. Cholesterol/HDL Ratio 3.6
Desirable <5 (calc)

Direct LDL Cholesterol 114
(Desirable <=100 mg/dL)

LDL/HDL RATIO 2.0
VLDL CHOL, CALCULATED 56


LIVER Test results:

Aspartate Aminotransferase (AST) 56
(Reference Range 10 - 40 U/L)

ALT (Alanine Transaminase) 113
(Reference Range 9 - 46 U/L)

Total protein 8.5
(Reference Range 6.2 - 8.3 g/dL)

Albumin 5.3
(Reference Range 3.5 - 5.2 g/dL)

Globulin (Calculated) 3.2
Reference Range 2.1 - 3.7 g/dL (calc)

GGT 36
(Reference Range <=65 U/L)


Albumin/Globulin Ratio 1.6
Reference Range 1 - 2.1 (calc)

Bilirubin Total 1.6
(Reference Range <1.3 mg/dL)

Bilirubin Direct 0.3
(Reference Range <=0.4 mg/dL)


My other test results are normal. However, I am mainly concerned about my high ALT count. Is it because of my increased Triglycerides? In the USG report it says Grade 1 fatty liver. In 2015 tests, my ALT count was 34 and AST was 22.I never had any liver problem nor does anyone in my family.

FYI, I am a non-alcoholic.

Please let me know how bad does my report looks? And what can be done to control it? Do I need to take any medicines?

Just to add, recently I have started taking Omega-3 Fish oil capsules to reduce my triglycerides levels.

Thank you.
doctor
Answered by Dr. Ratnakar Kini 13 hours later
Brief Answer:
High ALT due to fatty liver

Detailed Answer:
Hi,
Thanks for posting your query.
I am Dr.R.K and I am pleased to assist you.

Your ALT is significantly high.
This could be possibly due to fatty liver.

Fatty liver in turn may be due to obesity and high triglyceride levels.

You need to reduce weight. Try to keep your BMI below 25.
To reduce triglycerides, in addition to weight reduction, continue taking omega 3 fatty acids.

Regards,
Dr.R.K.
Above answer was peer-reviewed by : Dr. Raju A.T
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