Raised ALT, GGT, AST not ALP?

[welshfilly1978]

Hi all.

I am a 42 year old female. For 6 years I've had ALT rise then go back to normal and on and on. ALP always normal. AST always normal.

Since a year ago my ALT has been hovering at 91. My GGT is 148 and AST is 40. Normal ALP.

Always told its NASH. Fibroscan 2018 7.4 2019 6.2 and 2020 5.2.

I was positive for Alfa 1 antitrypsin but I'm a PiM so normal.

All other automakers markers negative or normal.

Having biopsy on liver on Wednesday. Drs are now very confused as year on year my fibroscan as hot better and now normal. But my LFTs are always high.

Anyone been through this? Is it odd that ALP is always normal?

I am thinking autoimmune hepatitis as I have a very rare autoimmune inflammatory condition called SAPHO syndrome.

Any help appreciated as my Drs are very confused. Me too

Never really drank and dont smoke. I am slightly overweight but I I really do struggle to lose weight.

[Amit_Paun]

Good luck for biopsy

[Hidden]

Good morning welshfilly1978,

Unfortunately no-one here is qualified to interpret your blood tests.

As you have said you are going for a liver biopsy , I have included a link to the British Liver Trust information on liver biopsy.

britishlivertrust.org.uk/in...

I hope it goes well, keep us posted !

Trust9

[welshfilly1978 in reply to Hidden]

Hey. Sorry I'm not looking to interpret it. I do understand it but I cannot find any information relating to the three rises and a normal ALP. Every bit of information will refer to raised ALP and say GGT but nothing can say what normal ALP and raised GGT means. I was simply asking what people thought that was. I wasnt asking you to interpret my bloods.

I included everything else so you had a fill picture.

If anyone has knowledge of this I'd really appreciate it.