I'm new to this community, I’m not sure what is best to put here. Should I be concern about my raised liver levels? What are UK Liver test levels, where can I find it here?
My blood test results:
Alt level is 45, AST is 37, Globulin 40 . All the other blood tests are normal.
Thanks.
Written by
Juliegrace1
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Each of those are only like a few points above upper limit of normal and nothing to get too worked up about. Different labs work to different normal ranges so in some labs your figures wouldn't even be abnormal. Your own results should show what limits they are working to.
Doctors generally only get concerned if these results are 3 to 4 times above upper limit of normal.
Why did you have bloods done in the first place? Have you got obvious risk factors for liver issues?
Normal protocol would be to repeat these bloods in a couple of months or so to see if they are just a blip or just your norm. Nothing too worrying in only a few points over - if the AST, ALT were into the 100's or 1000's then they might be more concerning.
I am perimenopause with different symptoms, had to go to see my GP about the changes and they want to know if there were any underlying problems. This year my blood tests shows the raised liver level and I have never had issues with my liver before. Doctor is going to send me for an ultrasound, just to be on the safe side.
I don't drink and eat healthily, so I'm not sure what is wrong. Hopefully find some answers .
Also new to this community. I visited GP last year as was not feeling right and was told that it was likely due to being menopausal. Did your GP request an AMA M2 check? My liver enzymes were only slightly raised but it transpired I have PBC which is in early stages and I am now under secondary care with a consultant. (Also diagnosed with another rare autoimmune condition).
A normal abdominal ultrasound did not detect anything abnormal other than gallstones (which I knew about already) and it was only having a fibroscan that gave a clearer idea of what’s going on.
My AST and ALT were regarded as mildly elevated for some years and the doctor was not concerned. I am talking an ALT of around 100, so 3 times normal (per my lab ranges), and an AST of around 70, so around twice normal.
As Katie has said, you would appear to be only just above normal and your results should show what the normal range is for the lab that processed your test.
I would, however, like to expand on the normal protocol that Katie is also right about because in my case it did not serve me terribly well. It would be sensible to repeat the blood tests. If they go back to normal all well and good, these results may just be a blip. If they don't go back to normal it does not necessarily mean they are normal for you, however. And even if they are a blip it is worth keeping an eye every year if you can. I say this because in my case the liver results that nobody (expect me) was even slightly bothered about turned out to be from chronic Hep C. In the case of Hep C it is quite common for liver bloods to be only mildly elevated - indeed they can have short periods of being in the normal range. It was not until I was lucky enough to get some other symptoms that it was found. And I say "lucky" advisedly because Hep C symptoms can be very vague and the disease is often not discovered until it has been able to cause significant liver damage. I only have mid fibrosis. And some lung problems.
It is likely that your results are indeed nothing to be overly concerned about. I'm glad your doctor is taking you seriously and conducting further checks to be on the safe side. The NHS is trying to eradicate Hep C at the moment and you can get a free blood test if you are in the UK and think there is any possibility you could have that (typical causes are intravenous drug use at any time, or blood transfusions before the 1990s, or tattoos many years ago when hygiene standards were different or from anywhere that might have been a bit dodgy, or medical care overseas depending on the place). None of those apply to me, but I did have plenty of dental treatment back in the days when they did not have single use needles so that is our best guess on where it came from.
Thank you both for your comments, nice to share and learn from others. Just want to say 'Hello' to Katie, if she is reading this. All of you seems nice and friendly, with a positive outlook to health.
LiveryLlama--Can you remember your result, blood tests? I will ask for this test. Is the AMA test similar to a blood test? Will a Fibroscan detect PBC, abnormal liver?
Beginning of June I had a chesty cough and loose stools. The morning bowel movements (loose stools) was on and off till mid July. I’m not sure if I had caught a virus or something. The FIT test was negative. I do have arthritis and unintentional weight loss, I’m not sure if this affected my elevated liver enzymes. Told my GP about the weight and it is already logged into their system. This year is a bad year for me, might as well get the scans and tests done!
Btw, still learning where to click and browse, if I have made any mistakes, please correct me. Thanks.
Welcome to the group! Definitely worth getting scans and tests so that you know what you’re dealing with. A fibroscan alone won’t diagnose PBC, it will give you an idea of the amount of damage ( if any) you have to your liver and it contributes to the overall picture which might lead to a PBC diagnosis. There is good information about PBC on the British Liver Trust website and on the PBC foundation website but I’d suggest holding off research until you have a diagnosis, it might be something else or nothing at all. I hope your year improves. Lots of lovely people on here to help you along the way.
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