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Hi, Labs Came Back With An Elevation Of Liver Enzymes

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Posted on Tue, 29 Oct 2019
Question: Hi, labs came back with an elevation of liver enzymes of 72. I have a follow up with more labs next week to further research reason. I do drink, but not daily, however, i drink more than i should when i do drink. Is 72 an indication of cirrhosis or life threatening? XXXXXXX
doctor
Answered by Dr. Dr. Antoneta Zotaj (45 minutes later)
Brief Answer:
You have mildly elevated levels of liver enzyme and it is only a 5% chance a serious condition is the cause of it

Detailed Answer:
Hello and welcome to "Ask a Doctor" service,

I carefully read your query and understand your concern.

ALT and AST are the main liver enzymes (called also transaminases) and their normal values are generally under 40 mg/dl. These are considered to be mildly elevated if they are increased by up to 5 times the norm, which means up to 200 mg/dl.

In your case, the value is 72 mg/dl, which is quite a mild elevation. Most of the patients that have mild elevation of transaminases (liver enzymes) have non-alcoholic fatty liver disease (NAFLD) or alcoholic fatty liver disease and only around 5% have a serious condition. Liver enzymes may be elevated in cirrhosis but there are many other more common reasons for the enzymes to be increased.

So, according to these numbers, it is very likely the increase in your case is due to a benign or not very dangerous condition but tests have to be done to rule out other liver conditions, as your doctor is already planning to do.

I hope this answers your query.
I remain at your disposal for further medical assistance.

Regards,
Dr. Antoneta Zotaj
General and Family Physician

Above answer was peer-reviewed by : Dr. Raju A.T
doctor
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Follow up: Dr. Dr. Antoneta Zotaj (2 hours later)
Thank you do much. I failed to mention that over a year and half ago, they were elevated to 64, so after a year thats an elevation of 8. I havent abstained drinking , tylenol, and junk food.
doctor
Answered by Dr. Dr. Antoneta Zotaj (30 minutes later)
Brief Answer:
It is reassuring that there is only a small increase in a year time

Detailed Answer:
Hello and welcome back,

It is my pleasure to assist you.

It is obvious that there is not a major increase in the levels of transaminases (liver enzymes) since last year, and this is quite reassuring.
Alcohol, drugs (paracetamol) and unhealthy diet may affect the liver and cause liver enzyme levels in the blood to rise.

Very likely this is the case with you but other tests are needed to make sure. So, you will need to follow your doctor's instructions and recommendations to rule out other causes.

Regards,
Dr. Antoneta Zotaj
General and Family Physician
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Above answer was peer-reviewed by : Dr. Arnab Banerjee
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Answered by
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Dr. Dr. Antoneta Zotaj

General & Family Physician

Practicing since :2004

Answered : 4435 Questions

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Hi, Labs Came Back With An Elevation Of Liver Enzymes

Brief Answer: You have mildly elevated levels of liver enzyme and it is only a 5% chance a serious condition is the cause of it Detailed Answer: Hello and welcome to "Ask a Doctor" service, I carefully read your query and understand your concern. ALT and AST are the main liver enzymes (called also transaminases) and their normal values are generally under 40 mg/dl. These are considered to be mildly elevated if they are increased by up to 5 times the norm, which means up to 200 mg/dl. In your case, the value is 72 mg/dl, which is quite a mild elevation. Most of the patients that have mild elevation of transaminases (liver enzymes) have non-alcoholic fatty liver disease (NAFLD) or alcoholic fatty liver disease and only around 5% have a serious condition. Liver enzymes may be elevated in cirrhosis but there are many other more common reasons for the enzymes to be increased. So, according to these numbers, it is very likely the increase in your case is due to a benign or not very dangerous condition but tests have to be done to rule out other liver conditions, as your doctor is already planning to do. I hope this answers your query. I remain at your disposal for further medical assistance. Regards, Dr. Antoneta Zotaj General and Family Physician