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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Why Are My Alt And Ast Slightly Elevated?

My alt and ast are slightly elevated. My hep b surface AB tests high along with all my other titers. Varicella, rubeolla, rubella. I wrk in health care and have had low back pain for about 8 months. I take 2 aleve and 2 tylenol every day and have about 3 glasses of wine a week. Otherwise I am super healthy.... My AST is 87 and my ALT is 68. I have had no exposures that I know of. Could my anti inflammatory and tylenol use contribute to these abnormal levels?
Thu, 20 Apr 2017
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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).

Also test for HCV Ab and lipid profile.
Fatty Liver disease may also lead to elevated liver enzymes

Value of AST or ALT greater than 85 or above maybe investigated further.
Alcohol ingestion and obesity are common causes of fatty liver disease.

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 after 6 to 8 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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Why Are My Alt And Ast Slightly Elevated?

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). Also test for HCV Ab and lipid profile. Fatty Liver disease may also lead to elevated liver enzymes Value of AST or ALT greater than 85 or above maybe investigated further. Alcohol ingestion and obesity are common causes of fatty liver disease. 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 after 6 to 8 weeks and/or ultrasound. any further questions are welcomed. hope to answer your concern. wish you good health. regards, Dr Tayyab Malik