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High liver enzymes, AST and ALT high. How can I bring them to normal? Cirrhosis likely?

Hello. My liver enzymes are extremely high. The AST was 729 and the ALT was 623. Do you need any other results? I stopped drinking and im curious as to how much i can expect those enzymes to decrease over two weeks, and how long could i expect them to return to a normal range? I think a fatty liver must be pretty obvious. Also, is there a common enzyme level or range that confirms cirrhosis or it s likelihood? Thank You
Asked On : Sat, 2 Feb 2013
Answers:  2 Views:  730
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Gastroenterologist 's  Response
Hello, Cpver360,
You mention that you stopped drinking which is wonderful.
The extent of liver damage depends on the duration of alcohol
abuse and also the quantity of consumption. If you have been
a steady drinker or even a binge drinker for a number of years,then
definitely you have caused liver damage. The levels of liver enzyme
that you mention above are indeed high. AST should be around 40 units.
and ALT should be around 50-55 units. The other numbers that we need
are Bilirubin level, Alkaline Phosphatase, Total Proteins, Albumin and
Globulin levels, Your complete blood count including platelet count,
you also need coagulation factors such as Prothrombin time.
You also need to know your electrolytes ,Sodium, Potassium, Chlorides,
kidney tests Blood urea nitrogen, creatinine, blood sugar, lipid levels.
After all this , you need an ultrasound of the liver and gallbladder to
determine to see if you already have cirrhosis.
I would recommend that you start taking a good Super B-Complex
supplement (Vitamin) along with 800 i.u. of Vit-K and 1000 mg. Vit-C.
A good diet high in protein will be helpful unless you have advanced
liver disease when you might have to restrict proteins to avoid going
into liver coma.
Hope this information helps you to discuss with your own doctor and
proceed accordingly.
I wish you the very best.
Answered: Sat, 2 Feb 2013
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General & Family Physician Dr. Pavan Kumar Gupta's  Response
There is no specific medicine to bring down your SGOT and SGPT LEVELS. 
however there are ways to reduce them 
1... Stop alcohol totally.
2.. Regular aerobic exercises for 40 minutes a day 
3.., avoiding junk foods like maggie,noodles,pasta,pizza,white bread,burgers and colas. 
4.. Consumption of green leafy vegetables and fresh fruits suited for diabetics. 
5.. Avoiding deep fried and fatty foods 
6.. Take super B complex vitamin having 800 mg VIT E and 1000 mg VIT C,once a day. 
7.. Keep your weight in your required BMI range. 

Your SGOT,SGPT,fatty liver shall become normal in 3 to 6 months time.

Liver cirrhosis is diagnosed by getting the ultrasound of liver or CT scan of liver and biopsy of the liver tissue done.

Answered: Sat, 2 Feb 2013
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