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.