I'm an alcoholic who has drank 2 bottles of wine a night for about a year and a half. I've had my liver investigated this year, and found out a lot. I had a high ALT (124) which then went down to (112) with a normal GGT. I also had an ultrasound which showed a fatty liver.
Throughout all of this, both my GP and my sonographer said they do not suspect cirrhosis and that the damage could be reversed. I also cut back on the alcohol, but admittedly frequently relapse into a 2 bottle binge, probably explaining why the ALT remained high.
I've just had my latest liver function to find my ALT is higher than ever at 150. I do drink well over what I should, but much less than I used to, yet my ALT is the highest it's been. My rheumtatologist has referred me to a fibroscan. She seems very concerned about how high my ALT is and does not seem to think it tends to be this high with fatty liver. Could fatty liver alone cause an ALT of 150?
My other question is this: would fibrosis have appeared in the ultrasound or not? And, if I might have fibrosis (the ultrasound guy seemed very confident he was not looking at cirrhosis) is fibrosis reversible, or does it always ultimately and eventually progress to cirrhosis?
I am now abstaining from alcohol. This ALT is too much for me to deal with and keep drinking. So I'm stopping altogether.