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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Alcohol Addiction, Routine Physical Showed Lowered AST, High ALT, Borderline Cholesterol. What Care Should I Take?

Hello, I went in for a routine physical having turned 40. I drink 5-8 to drinks a day. My AST came back at 35 and my ALT came back at 86. 4 days after not drinking, my blood was drawn again and the AST was lower and now the ALT is 78. All other blood tests are in spec. 225 at 5 9 with moderate exercise each week. Cholesteral was borderline at 202. How concerned to I need to be with this. I have completely stopped drinking and now it has been 8 days without any alcohol. Thanks
Sat, 25 Aug 2012
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Gastroenterologist 's  Response
Hi,
Welcome to Healthcare magic.
Alcohol damages liver.
But if there is a damage to liver , the AST is raised more than the ALT and it is not so in your case.
So a damage to liver is less likely.
The ALT is also raised less that 2 times the upper limit of normal which is not significant.
You can have a ultrasound scan of the abdomen done to rule out fatty liver.
Since you have already stopped drinking alcohol, there is no need to worry as your blood tests do not indicate anything very serious.
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Alcohol Addiction, Routine Physical Showed Lowered AST, High ALT, Borderline Cholesterol. What Care Should I Take?

Hi, Welcome to Healthcare magic. Alcohol damages liver. But if there is a damage to liver , the AST is raised more than the ALT and it is not so in your case. So a damage to liver is less likely. The ALT is also raised less that 2 times the upper limit of normal which is not significant. You can have a ultrasound scan of the abdomen done to rule out fatty liver. Since you have already stopped drinking alcohol, there is no need to worry as your blood tests do not indicate anything very serious.