I recently did my blood test for LFT and my ALT level is 138, AST 63, ALP 53, GGT 43, Tot Protein 73, Albumin 38 and Globulin 35.
Doctor told me that this is because of alcohol which I drink 4 days before the test. it drunk too much alcohol. but I don't drink regularly. Just like once in a month or after two months.
Just want to know that how can I decrease my ALT and AST level.
Is there something serious to worry about?
I stopped drinking alcohol from that day when the doctor told me
Thanks
Written by
Kangpawan
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Thank you for your post. This forum is here for members to share experiences and provide support to each other and is not a medical forum.
The British Liver Trust asks that users do not ask for specific medical advice or post test results. Any diagnosis must be made by your own doctors who will know your medical history and individual circumstances. This is within the guidelines of both the forum and HealthUnlocked. You can find these guidelines on the home page of the forum.
Please see link below to the British Liver Trust website for further information regarding liver disease: britishlivertrust.org.uk/
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Please do continue to use this forum to share your experiences and seek support from members where there is a huge amount of experience and knowledge around living with liver disease.
Eat as healthily as you can...the link below from the British Liver Trust has information on healthy eating, exercise regularly - start slowly and build up if you haven’t exercised previously, lose any excess weight and don’t drink alcohol. My blood tests all improved to normal as a result of switching to a healthy lifestyle and exercise regime but you have to stick at it and it does take time. Good luck! Owlie
Um no. Your doctor is incorrect. Your inflammatory enzymes would not raise because you drank before the blood test. Especially four days before unless you binge drank into a state of alcoholic hepatitis which I seriously doubt. Sometimes a few day bender can increase your GGT a bit but thats about it. Some of your levels are enough out of the range of normal to warrant further investigation for sure. Your ALT is almost 3 times the normal limit and your ast is about 23 above normal. Your albumin is also on the low end of the normal range. Im not saying you have anything incredibly serious going on as im not a doctor. But its definately not normal no. If your doctors thinks it is. Get a better doctor. Most GPs know absolutely nothing about this stuff..thats not uncommon.
Btw alcohol is only one of thw 120+ causes of liver problems. Dont assume liver disease is a drinkers issue.
A weight of 94 kg at your height puts you in the 'obese' body mass index category with a BMI of around 33. You need to be tested for fatty liver. If you have fatty liver then based on your blood test results you probably also have NASH which can eventually lead to cirrhosis unless the NASH is stopped.
Unless you are a body builder with a low fat percentage you need to lose 24 kg minimum to put you at the top of the normal healthy range of the BMI index & 39 kg to put you at the bottom of the normal healthy range! I weigh myself daily using Tanita body fat scales. My body fat percentage this morning was 18.7%. That's acceptable for someone my age (67) with a body mass index of 22. If I were you I'd purchase a good quality set of scales that measure fat percentage. You might be shocked at how high your fat percentage is. If you do decide to lose weight you need to do it gradually because if you have fatty liver with NASH & lost weight rapidly you risk making both conditions worse.
Yesterday I called the police when a neighbour refused to agree to allow me to take him to hospital after I observed that his feet were swollen & his belly was grossly distended. I'm guessing that based on his swollen feet he was in heart failure & that he also has liver disease possibly cirrhosis with ascites based on his distended belly & the fact that he'd rapidly lost most of the hair on his head.
He was depressed & expressed the desire to die. He would have got his wish if the police hadn't come & called an ambulance to take him to hospital. You don't want to wind up in his position. He's 6 foot 1 and only 57 years old. He has let his body blow out to at least 130 kg if not more. Unless he loses a minimum 40 kg he's a dead man walking.
Losing weight rapidly like you are doing can make fatty liver worse. Since GGT is still in the normal range the slightly higher figure is not a worry. ALT coming down is a good sign meaning that your liver is less inflamed. Keep avoiding alcohol & other liver stressors & lose weight more gradually.
Exactly as everyone else has said. Phoenix is absolutely right, you need to make sure everything else is ruled out, autoimmune disorders etc.
I had elevated alt levels for 2 years from being overweight. 5”10 and 112kg, I am a rugby player but still it is too heavy. This was my weight at the end of January this year. I had a fibroscan that showed mild/moderate fibrosis with a score of 7.6. I am 30!!! We are NOT too young to get this!!! I don’t want to make this sound worrying but you can change it all around..... get healthy..... one day at a time! Cut out white carbs and sugars is a must...... got to be a lifestyle change.
As of today I am 104kg, my ALT has resided back into the normal range. I’ll have another ultrasound and fibroscan in June with another set of bloods once I hit 99kg.
My GGT has never been raised, so I can not really comment on that. What I would suggest talking with your doctor about is having a full screen for autoimmune disorders (looks for certain antibodies), to rule out other conditions.
Your ALT/AST ratio is not consistent with liver disease caused from alcohol. Its suggestive of Non Alcoholic Fatty liver disease. I obviously cant diagnose that but its certainly not suggestive of alcoholic liver disease. Regardless dont drink with this condition, so good that your abstaining.
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ALT LEVEL OF 325
Elevated ALT a problem? 
Extremely elevated alt ast and ggt
Gamma GT, AST and ALT are high
