De Ritis ratio?

[Vladimirberkov]

From what I understand this is only of use if both tests are out of range, and then a ratio closer to 2-1 AST to ALT is related to ongoing alcoholic liver disease/damage. What if it's the opposite? What if ALT is twice what AST is?

[kensimmons]

Then your ratio is .33 and there is an excellent chance nothing is wrong. But there are always exceptions so you have to look at other numbers and other things as well. A hepatologist (Liver Doctor) is the best person to consult for further information.

[Vladimirberkov in reply to kensimmons]

Yeah I have a call into my doctor, I just got these results from looking at labs I got results on online.

[Hidden in reply to Vladimirberkov]

More importantly, have you quit drinking now? I see from your previous posts you have tried and failed several times. Nothing will improve, including anxiety until you give up completely.

[Vladimirberkov in reply to Hidden]

I'm not drinking. I made a promise to my mom and have stuck with it since.

[Hidden in reply to Vladimirberkov]

Great !

[Dd4560]

From what I read, it only counts if bloods are over the limit, that's when the AST/ALT de ritis counts. As far as ALT/AST, my bloods have always shown ALT to be greater than my AST and I assume that's just normal for everyone. Haven't read anything otherwise.

I was reading from your past posts and you said you needed to lose 20kg, so that seems like a lot, are you a big guy? I heard that to relieve fatty liver, a person just needs to lose 10% of their body weight. I've been told I had slightly enlarged and slighty fatty liver from an ultrasound. My max weight has been 190, and I am around 175 now, still working on it, but aiming to get down to 160.

[Vladimirberkov in reply to Dd4560]

It's hard to tell, because I think I'm also carrying a lot of water weight right now. I've been diagnosed from before with alcoholic hepatitis, my last ultrasound showed fatty liver but that was a few months back.

[Dd4560 in reply to Vladimirberkov]

Well, typically if you have a scale at home and can weigh yourself everyday, you can take a weekly moving average, if you have extreme changes like a 5 lb difference in a day, then yea that's probably water weight, but if your weight is consistent, then it's most likely your real weight. If you take your average weight, and have it steadily go down over time you can trust it to be real weight loss.