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British Liver Trust
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High AST and ALT levels

My AST and ALT levels are high, tested two months ago.

AST 101

ALT 84

Bilirubin 1.7

Nothing else was high. They gave me an ultra sound and it was normal. I quit drinking for 28 days when I had a slight tradegy in the family that led me to drink kind of heavily for 2 weeks when I realized how stupid I was being and quit again do a week. Then another tradegy happened and I drank for 5 days. Now I have stopped and am going to seek help so I never drink again. My question is, could I have seriously screwed my liver more? I know my doctor wanted me to be sober for three months and retest. But I am wondering if I should go get rechecked in case I made something worse? Or should I just wait now another three months after being sober? I have been taking vitamin b, folic acid, tumeric and milk thistle vitamins. Also drinking warm water with lemon juice and apple cider, also green tea.

3 Replies


Welcome to the forum.

Based on the information that you have shared, it may be a good idea to make an appointment at your GP's and discuss your recent alcohol intake and worries about your liver. They are best placed to advise you with regards to tests.

We note that you mentioned you have been taking milk thistle, The British Liver Trust does not recommend the use of any homeopathic or herbal remedies for those with any liver problems as these have to be processed by the liver and can actually damage the liver and lead to severe illness.

More research needs to be done on the use and safety of such remedies and therapies.

Homeopathic remedies are unregulated in the UK and concentrations of active ingredients vary by brand purchased. If you are considering using complementary or alternative remedies &/or therapies please always discuss this with your liver doctor or GP first.

Here is the link to our page on Complementary & Alternative Medicines;


Best wishes,



Dangit, I didn't know that about milk thistle!! I am done taking that! Do you know much about tumeric? And lemon juice with apple vinegar cider?

The problem is I am visiting my family in another state for a couple of months and my insurance is not covered here. So I wasn't sure if it was extremely necessary to go get retested? If I did damage my liver more, is it important that I find that out immediately, even though I'm taking all the necessary actions to improve the health of my liver and my over health in general? I guess I should mention that I am 30 years old, workout regularly, not over or underweight and have always been pretty healthy. So I just didn't know if I should seek the doctors help immediately, or if waiting another two months while staying sober is ok? Thank you for your oppinion and suggestions! Super helpful and insightful!


Fibrosis is reversible, with abstinence from alcohol and good nutrition.

Use over the counter medications carefully avoid aspirin, ibuprofen, (Advil, Motrin, others) and naproxen (Aleve, others). When in doubt, consult a physician or pharmacist


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