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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Had bloodwork last week - ALT increased to 44 since

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Dr. Prasad

General & Family Physician

Practicing since :2005

Answered : 3125 Questions

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Posted on Tue, 29 Jan 2019 in Digestion and Bowels
Question: Had bloodwork last week -ALT increased to 44 since last year - has been 34 for a couple of years.
What could cause that? One of my medications?

Thanks,
XXXXXXX Miller
doctor
Answered by Dr. Prasad 2 hours later
Brief Answer:
May I know your medications...

Detailed Answer:
Hi,

At the outset, ALT value of 44 is not concerning. It becomes significant when levels are more than 2-3 times normal values. Therefore I would not be overly worried about this ALT value.

The slight increment in levels may or may not be due to medications. May I know the list of drugs you are on to verify.

Regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Prasad 1 hour later
my medications are in my profile. lisinopril, metoprolol tartrate, atorvastatin, ezetimibe, baby aspirin, b12
doctor
Answered by Dr. Prasad 22 hours later
Brief Answer:
Some of these drugs may effect liver enzyme.

Detailed Answer:
Hi,

Some of the medicines especially atorvastatin are known to effect liver, thereby raising liver enzymes. Besides atorvastatin, ezetimibe and very rarely metoprolol may influence ALT results.

Having said that, as I mentioned earlier, currently ALT values are insignificant and do not warrant concerns or changes to medications. If needed (though not indicated), you may continue to monitor ALT / AST results every 6 months.

Hope this helps. Let me know if you need clarifications.

Regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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