British Liver Trust
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Consistently HIGH AST, ALT, GGT and Positive Hep A AB

I am 34 year old quite active male - i do one of these activities daily - gyming, hiking, basketball, or tennis. In last 2 years, i got my liver test done thrice and i am consistently having 10-20 points more than max figure of AST, ALT and GGT.

I take couple of drinks once a week. From 2012 to 14, i was drinking daily and eating all junk pathetic food. From 2014 - 2017, I controller my drinking habits and brought it down to twice a week maximum. Since 2017 beginning, i have been working hard on my physical fitness and i brought my weight down from 225 lb to 195lb.

I mostly eat outside and chicken is part of my most meals.

Among the 3 test results, results from the most recent tests were worst with below figures

AST = 55 (Max recommended is 40)

ALT = 75 (Max recommended is 44)

GGT = 163 (Max recommended is 65)

In addition to that, i also had a positive Hep A AB.

I am bit worried on these results. is it because of Hep A AB? is this curable and how dangerous it is? what are the precautions i should take? Any other factors that can cause these figures.

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These are all questions you need to be asking your doctor. You will get varying opinions on this site. As the liver trust says, this is not a medically qualified forum but offers lifestyle advice, experiences and support by people who have been through liver diseases caused by many reasons. Only your doctor, consultant and specialist are qualified to diagnose and explain test results .

But well done for making the change to a healthier lifestyle 💪☺

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I trust Hep A-AB refers to antibodies (AB) to the Hep-A virus, and indicates you have been exposed to this in the past. Acute/active Hep-A would be symptomatic and enzymes would climb into the thousands.

Hep-A usually doesn't result in chronic disease and you should not be a carrier of the virus or contagious. Something to ask your doc about, but this is probably a non-issue.

I've read strenuous exercise can bump both ALT and AST slightly higher, but haven't see this related to GGT, though I suppose its possible.

Anytime you get labs out of range like this, a retest, typically at around 90 days is usually done to see if liver inflammation is resolving, chronic or increasing. Try to avoid extremely strenuous workouts for 3-5 days before your recheck to see if this makes a difference.

Hope you get to the bottom of this soon!

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Hello dwayne83,

Welcome to the forum where you will be able to get advice and support from others with experience of liver disease.

However, this is not a medical forum and none of the members are qualified to diagnose or give specific medical advice. Users are advised to NOT post test results or scans and request an interpretation from other members. This is clearly stated in the guidelines to both this forum and Health unlocked.

Test results vary according to both the individual’s whole health and the specific laboratory / medical team analysing the results. To avoid misinterpretation and undue concerns, results can only properly be explained to you by a qualified medical practitioner with full knowledge of your unique medical history and circumstances.

Please don’t be discouraged from using the forum as there are members with a great deal of understanding and knowledge of living with liver disease as a patient or carer. They are willing and able to give you the benefit of that experience with the understanding and empathy that can only come from those with first hand involvement.

On the British Liver Trust website, from completely reliable and trusted sources, you will find a great deal of information about liver disease and how to maintain good liver health.

Best wishes,

Volunteer moderator

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