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How Long Do Elevated ALT Levels Take To Normalise?

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Posted on Mon, 5 Oct 2015
Question: hello doctor today i went for my Complete Blood Count and Liver Function Test and in reports i got ALT (SGPT) 108 which should be less than 50 i used to drink alcohol earlier but since 3 july 2015 i haven't touched any alcoholic beverages because i want simple and sober life without any disease so i am little concerned with my elevated ALT (SGPT) levels and i want them to be normal like it was before. so can you please tell me medicine for that and for upto how many days. so that my ALT (SGPT) levels go down to its normal level.
I am also attaching my reports . Kindly see the attachments.
thank you
doctor
Answered by Dr. Nishad BN (19 minutes later)
Brief Answer:
Better to go for ultrasound examination of liver also.

Detailed Answer:
Hi

Thank you for asking HCM.

I have gone through your query and reports. Your liver enzyme SGPT is elevated. It can be due to alcohol intake. It will come back to normal gradually if you avoid alcohol. It is better to go for ultrasound examination of liver rule out any major liver problems.

You can take plant extracts like silymarin for 3 to 6 months and antioxidants like vitamin C. Avoid drinking tap water. Use filtered water which is clear from heavy metals. Take enough fruits and vegetables in your diet. Also get enough sleep (6-8 hrs) daily These all measures will be helpful to normalize your liver enzyme.

Hope this may help you. Let me know if anything not clear.
Thanks.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Nishad BN (30 minutes later)
in 2012 when i started drinking alcohol at that time also my ALT AST GGTP levels were elevated and doctor give me udiliv 300mg for 14 days day and night . so can i take udiliv 300 mg again ??

once in 2013 i had dengue at that time also doctor give me udiliv so i am also little bit scared with name UDILIV 300 mg as i have heard someone they were saying taking UDILIV 300mg fails the function of liver so is that true? or can i take UDILIV 300 mg to correct this elevated liver enzymes.

though i know udiliv 300 mg is ursodeoxycholic acid which controls bile acid but i have seen taking udiliv 300 decreases the elevated enzymes though i don;t know how does it do it ..

so can i take udiliv 300 mg for 14 days?

will taking udiliv 300mg going to harm my liver or something in my body?
doctor
Answered by Dr. Nishad BN (3 hours later)
Brief Answer:
Short term intake of udiliv doesn't cause any harm.

Detailed Answer:
Welcome again.

Thank you for your follow up query.

Short term intake of udiliv doesn't cause any harm. So it is ok to take 300mg daily for 14 days. Studies have shown that this will help to decrease elevated liver enzymes even in low doses like 250.

All drugs have side effects. Udiliv has comparatively less toxicity and in lower doses like 300 mg wont cause any harm.

Hope this may help you. Let me know if anything not clear.
Thanks.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Nishad BN (1 hour later)
thank you also for the information but i want to ask you one more thing for my safety concern i first in my whole life started on udiliv 300mg in month of february 2013 after my first lft test of liver at that time i recently started my alcohol and in mean time i used to take udiliv 300 upon my mind that is whenever my mind says in between i stop taking udiliv 300mg also like this it happens till march 2014 then i started course of udiliv in january 2015 that is this year then i have took this in march and april since then i have not took this till now so i just wanted to know does it has done some harm to any of my organ as on internet i have read

"In double the recommended daily dose ursodeoxycholic acid reduces elevated liver enzyme levels in those with primary sclerosing cholangitis, but its use was associated with an increased risk of serious adverse events (the development of cirrhosis, varices, death or liver transplantation) in patients who received ursodeoxycholic acid compared with those who received placebo. Serious adverse events, were more common in the ursodeoxycholic acid group than the placebo group. The risk was 2.1 times greater for death, transplantation, or minimal listing criteria in patients on ursodeoxycholic acid than for those on placebo."

i only had query regarding this liver transplant and cirrhosis as i am little worried of taking udiliv 300 mg now because in past i have taken this whenever i feel to quit drinking after heavy drinking because i used to think if i continue to start udiliv 300 mg course may be i stop drinking but this wont happen so this year in month of july i finally made up my mind to quit drinking and which i did also so today i am asking you the dose of udiliv that i took in past which i dont know myself how much i took it in past but i know only that i took udiliv in between mean time in past by giving gap of days and so . so if i start my course again will it going to harm my liver permanently or will i be needed for liver transplantation in my future when i become old or something ? or should i start course again so that later i could know how much ursodeoxycholic acid is there in my body by going through therapeutic drug monitoring test for ursodeoxycholic acid is that test is available here in XXXXXXX
doctor
Answered by Dr. Nishad BN (8 hours later)
Brief Answer:
Explained below.

Detailed Answer:
Welcome again.

Thank you for your follow up query.

Alcoholic liver disease and primary sclerosing cholangitis are different. The adverse effects and cirrhosis you read is for primary sclerosing cholangitis and not for alcoholic liver disease. Also there is no use of taking udiliv if you start drinking again. You should get a counselling by psychologist which will help you to stop alcohol completely.

Taking udiliv in small doses like 300 mg for 14 days is safe also. It is better to take this after consulting your GP. There is no such therapeutic drug monitoring for udiliv in XXXXXXX Better to go for an ultrasound examination of liver to find out the status of your liver.

Hope this may help you. Let me know if anything not clear.
Thanks.
Note: For further follow up on digestive issues share your reports here and Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
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Dr. Nishad BN

General & Family Physician

Practicing since :2009

Answered : 5482 Questions

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How Long Do Elevated ALT Levels Take To Normalise?

Brief Answer: Better to go for ultrasound examination of liver also. Detailed Answer: Hi Thank you for asking HCM. I have gone through your query and reports. Your liver enzyme SGPT is elevated. It can be due to alcohol intake. It will come back to normal gradually if you avoid alcohol. It is better to go for ultrasound examination of liver rule out any major liver problems. You can take plant extracts like silymarin for 3 to 6 months and antioxidants like vitamin C. Avoid drinking tap water. Use filtered water which is clear from heavy metals. Take enough fruits and vegetables in your diet. Also get enough sleep (6-8 hrs) daily These all measures will be helpful to normalize your liver enzyme. Hope this may help you. Let me know if anything not clear. Thanks.