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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For ALT And AST

I HAD BLOOD WORK DONE AND MY ALT WAS 82 AND AST WAS 86, NOT GOOD, BUT I HAD A GGT OF 261. I HAVE BEEN A DRINKER ALL OF MY LIFE AND AM 67 YEARS OLD. I STOPPED ALL ALCOHOL TWO WEEKS AGO AND AM DONE WITH IT. I NEED SOME SPECIFIC STEPS TO TRY AND LOWER THESE LIVER ENZYMES. THANKYOU
Tue, 8 Mar 2016
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General & Family Physician 's  Response
Hi & Welcome.
I can understand your concern.
In addition to alcohol intake there are other causes as well for the raised liver enzymes like viral infections (hepatitis A, B or C), autoimmune diseases, metabolic diseases, certain drugs and toxins. All these causes should be ruled out in your case.
The liver enzymes can return to normal.
If the elevated levels are only due to alcohol intake, then the enzymes would return to baseline levels in 3-6 months time after stopping alcohol.
You need to have certain lifestyle modifications to lower the raised liver enzymes such as:
1. Total abstinence from alcohol or alcohol containing beverages or medications.
2. Avoid eating fatty meals, fast and junk foods, canned foods, red meat, etc
3. Eat home cooked food, dressed poultry, increase the intake of fruits and vegetables, fluid intake.
4. Do regular exercise, try to reduce your body weight if overweight. Avoid smoking.
Get the liver enzymes repeated after 3 months. If still high, then consult a Gastroenterologist for proper evaluation and investigations so that its cause can be found and treated accordingly.
Hope the suggestions given above would be useful in getting the liver enzymes to their normal levels.
A feed back is appreciated.
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Suggest Treatment For ALT And AST

Hi & Welcome. I can understand your concern. In addition to alcohol intake there are other causes as well for the raised liver enzymes like viral infections (hepatitis A, B or C), autoimmune diseases, metabolic diseases, certain drugs and toxins. All these causes should be ruled out in your case. The liver enzymes can return to normal. If the elevated levels are only due to alcohol intake, then the enzymes would return to baseline levels in 3-6 months time after stopping alcohol. You need to have certain lifestyle modifications to lower the raised liver enzymes such as: 1. Total abstinence from alcohol or alcohol containing beverages or medications. 2. Avoid eating fatty meals, fast and junk foods, canned foods, red meat, etc 3. Eat home cooked food, dressed poultry, increase the intake of fruits and vegetables, fluid intake. 4. Do regular exercise, try to reduce your body weight if overweight. Avoid smoking. Get the liver enzymes repeated after 3 months. If still high, then consult a Gastroenterologist for proper evaluation and investigations so that its cause can be found and treated accordingly. Hope the suggestions given above would be useful in getting the liver enzymes to their normal levels. A feed back is appreciated.