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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest The Cause For Liver Abnormality In Woman

Hello, I am a 29 yr old woman, got bloodwork done for strep and it showed liver abnormality i guess. they sent me for further blood work a week later and my alt was 140, ast was 64 and ggt was 82. Everything else was normal range. Whats the most likely cause or most common cause for this? I am not a drinker, never done drugs.. etc etc. I have had kids and had cholestasis of pregnancy throughout my 3 pregnancies but that was a few years ago....
Mon, 19 Dec 2016
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Gastroenterologist 's  Response
Hi.
Thanks for posting query at HCM.

Usually ALT or AST values higher than "two times the upper normal limit", is considered abnormal ( in some countries, ALT or AST values of more than 100 are considered abnormal).

Value of AST or ALT greater than 85 or above maybe investigated further.
Alcohol ingestion and "obesity" are common causes of fatty liver disease.
if your obese or over weight , exclude fatty liver disease, HBV and HCV infection.

advice:
- abstinence from "Alcohol"
- LOW fat diet should be followed, AVOID junk food and beverages
- decreased oil consumption (oily food)
- NO red meat
- green vegetables should be ingested daily
- use lemon juice (lemonade) once in a day
- reduce weight if overweight/obese
-"recheck liver enzymes and lipid profile after 8 to 12 weeks" and/or ultrasound.

any further questions are welcomed.

hope to answer your concern.

wish you good health.

regards,
Dr Tayyab Malik
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Suggest The Cause For Liver Abnormality In Woman

Hi. Thanks for posting query at HCM. Usually ALT or AST values higher than two times the upper normal limit , is considered abnormal ( in some countries, ALT or AST values of more than 100 are considered abnormal). Value of AST or ALT greater than 85 or above maybe investigated further. Alcohol ingestion and obesity are common causes of fatty liver disease. if your obese or over weight , exclude fatty liver disease, HBV and HCV infection. advice: - abstinence from Alcohol - LOW fat diet should be followed, AVOID junk food and beverages - decreased oil consumption (oily food) - NO red meat - green vegetables should be ingested daily - use lemon juice (lemonade) once in a day - reduce weight if overweight/obese - recheck liver enzymes and lipid profile after 8 to 12 weeks and/or ultrasound. any further questions are welcomed. hope to answer your concern. wish you good health. regards, Dr Tayyab Malik