AST 240, ALT 270. Should I be worried? Please help me. :(

[DennisJohn]

Hello everyone! I’m 25 years old. I’m 1m78 and 74kg. I have no autoimmune disease. The doctor doesn’t know what causes my elevated AST and ALT. He told me to have biopsy. I had ultrasound and the conclusion was that I might have fibrosis and early hepatic change. Could anyone help me with this? Is this because I have a fatty liver? I used to eat fried food + sugar a lot (I gave up on sugar since last year, 2019 and don’t usually have fried food.) One important thing is I don’t drink. Literally no soft drinks or alcohol. I am desperately looking for an answer Do you think ALT and AST around 250 are considered to be high? Please help me

*Attached photo is my monthly check-up*

[grapewizard]

Yes the numbers are high and you need to find out why. Is your doctor a PCP or a gastro/liver specialist? The right doctor is key. Primaries generally don't know enough to dig deep. Your liver specialist will certainly run several tests (Fibrotest, Fibroscan, other liver panels) before subjecting you to a biopsy. But don't panic, just stay focused and find a doctor that is qualified. You'll get to the bottom of it. Don't try to guess your way out of it. Find out what's causing it and then you can discuss a course of action, whether medicine or lifestyle choices. Keep us posted.

[Onesmallstep1969]

So sorry to hear that your liver is not well at the moment. But you should not panic. Let your heptologist guide you. But to answer your question directly, the lab results are showing liver enzymes above normal. That means, regardless of what's causing it, that your liver is inflamed. ALT and AST are markers of inflammation.

What can you do to help yourself? Eat a non-inflammatory diet.

What's inflammatory? It's like a fire in the body. It's a "flame" which is the root of the word "inflammatory", meaning "that which causes something to inflame". In all cases, meat and dairy cause an inflammatory effect in the body. No exceptions. At the molecular level, your cells become inflamed whenever you eat meat or dairy. Your body produces cytokines and other inflammatory molecules such as TMAO whenever you eat meat or dairy.

So, I hope that soon you will be under the care of a liver specialist. But in the meantime, don't pour gasoline on the fire by eating any meat, whether fried or not (though frying makes it far worse), sugar or dairy. Leafy greens, vegetables and fruits are your friends. If you need milk, say for your coffee, try almond milk. It's delicious. Best of luck.