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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Do ALT Of 125 Ans AST 93 Mean?

My ALT is 125 and AST is 93 ... Is this very bad and dangerous high numbers? I came off a steroid cycle three months ago and also take vigara and cialis when needed. I drink alcohol sometimes... I am on blood pressure meds. And also take red yeast rice . When using steroids I take milk thistle to help my liver aswell. I fasted for 12 hours but remembered I did have a beer at lunch the day before and took my blood pressure meds and herbal supplements in morning before bloodwork, but still fasted 12 hours. Could the levels be high because if the beer the day before and the BP med and supplements I took in morning
Tue, 7 Oct 2014
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General & Family Physician,  's  Response
Thanks for contacting HCM
I am sorry to hear about your elevated ALT and AST. These are markers for liver disease and at the low levels that your enzymes are currently are not at all alarming. ALT and AST are very sensitive for medications, diet and alcohol. Since you did have alcohol the day prior to your testing it can still be seen on your lab tests. Also the steroid treatment you had even a month ago can still influence you tests. But the most common cause of elevated ALT and AST is fatty infiltrate of the liver. This is when our diet is too high in fat or we are overweight even a little bit will cause extra fat molecules to be deposited in the liver and causing the elevated ALT and AST.

I recommend for you:
1. eat a low fat heart healthy diet
2. exercise regularly
3. Avoid alcohol
4. Avoid using steroids unless prescribed by you physician
5. Avoid excessive vitamin and health supplements
6. Avoid medication like Tylenol which are metabolized by the liver
7. Repeat your lab values after a 12 hour fast and no alcohol the day before in 3 months

Hope this answered your question. Please contact HCM again with your medical concerns and questions
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What Do ALT Of 125 Ans AST 93 Mean?

Thanks for contacting HCM I am sorry to hear about your elevated ALT and AST. These are markers for liver disease and at the low levels that your enzymes are currently are not at all alarming. ALT and AST are very sensitive for medications, diet and alcohol. Since you did have alcohol the day prior to your testing it can still be seen on your lab tests. Also the steroid treatment you had even a month ago can still influence you tests. But the most common cause of elevated ALT and AST is fatty infiltrate of the liver. This is when our diet is too high in fat or we are overweight even a little bit will cause extra fat molecules to be deposited in the liver and causing the elevated ALT and AST. I recommend for you: 1. eat a low fat heart healthy diet 2. exercise regularly 3. Avoid alcohol 4. Avoid using steroids unless prescribed by you physician 5. Avoid excessive vitamin and health supplements 6. Avoid medication like Tylenol which are metabolized by the liver 7. Repeat your lab values after a 12 hour fast and no alcohol the day before in 3 months Hope this answered your question. Please contact HCM again with your medical concerns and questions