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    What do the following cholesterol and liver test results indicate?

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Posted on Wed, 9 Aug 2017 in Digestion and Bowels
Question: Hi Doctor,

My name is XXXX and I am a 34 year old male. In the last 1-2 year 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?
Thank you.
doctor
Answered by Dr. Ratnakar Kini 2 hours later
Brief Answer:
Non alcoholic fatty liver disease

Detailed Answer:
Hi,
Thanks for posting your query.
I am Dr.R.K and I am pleased to assist you.
Your ALT is significantly raised.
This could be possibly be due to nonalcoholic fatty liver disease.
The probable risk factors are obesity and high triglycerides.
You need to reduce weight and also take medications for reducing triglycerides.
For fatty liver take NUSAM twice a day for 4 weeks.

Regards,
Dr.R.K.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Ratnakar Kini

Gastroenterologist

Practicing since :1996

Answered : 1994 Questions

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