Covid and elevated AST / ALT - Living with Fatty...

Living with Fatty Liver and NASH

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Covid and elevated AST / ALT

Szs3eb profile image
13 Replies

I am a 57 year old who reversed my NAFLD and NASH.

I tested positive for covid on June 3rd, video visit doctor sent me to ER for monoclonal antibody treatment. They took my blood and my liver enzymes were higher than they have been for years.

ALT 6O and AST 200

Have any of you experienced this and did your enzymes return to previous normal?

If so, how long did it take?

If not, how long since you recovered from your covid infection?

Thanks in advance,

Susan

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Szs3eb profile image
Szs3eb
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13 Replies
Alterity profile image
Alterity

No one checked my liver while I had Coivd. I took the antibodies within 24 hours of testing positive and the covid last about 3 weeks and they told me I would cough for about 2 months and that's about what happen. The last 30 days it was just a cough here and there but it sounded bad. No one checked my liver afterwards until about 2 months later, no one said anything.

nash2 profile image
nash2Partner

No personal experience but infections can spike liver enzymes so not surprising. They should stabilize with recovery but if not certainly reason to pursue with your doc.

SD02 profile image
SD02

Yes-this happened to me in 2020. My enzymes have always been mildly elevated but after covid I had a significant increase. My ast and alt were decreasing to baseline after a little over a month but found GGT elevated (first time I had that checked). By June, after careful diet and exercise ast alt better than baseline. I just had covid again in April and should probably get rechecked ….I think about this in light of the recent pediatric hepatitis cases of unknown origin

SK_gettingFitter profile image
SK_gettingFitter

Can you please describe how you reversed it? Just got tested and ALT is 71, feel demoralised. Can I reverse it with exercise?

Szs3eb profile image
Szs3eb in reply toSK_gettingFitter

Eating totally clean and excercise daily (cardio and strength)

Oldman61a profile image
Oldman61a in reply toSK_gettingFitter

Both of my enzymes hit triple digits last winter. Got a sonogram of my liver to confirm nafld with mild scarring. On noom diet now and off all my meds. BP is normal, sugar down into the 100 to 120 range regularly. I see my Dr in September to see how my enzymes are doing, but I have so much more energy (60 lbs later) I suspect they are better. I had BMI of 42, soooo....there ya go.

Nonotnash2022 profile image
Nonotnash2022

It has been one month since I had Covid. I will be curious to how my labs come out next time.

Maxy6 profile image
Maxy6

I am now positive for Covid and scheduled for the antibody infusion tomorrow. Don't know if they will check labs, but if so, will update here.

Szs3eb profile image
Szs3eb in reply toMaxy6

Not sure. They did when I was referred to ER. Tell them you have liver issues.

Maxy6 profile image
Maxy6

I didn't go to ER, Directly to infusion clinic. They know about my liver, stated to have my PCP check my labs after I am out of quarantine. The 5 days is up Wedneday but am still symptomatic,

Szs3eb profile image
Szs3eb in reply toMaxy6

I wish they had such a place here. I was forced to go to ER and take away staff from acute emergencies and then pay $350 copay. I am still grateful I got the treatment. My PCP said to wait a few months for things to normalize, but I messaged my hepatologist and awaiting a response. Wishing you all the best with your numbers!

Maxy6 profile image
Maxy6

Thanks, the same to you. Hope you are feeling better. One week out and I am feeling slightly better.

NeverBeen2Spain profile image
NeverBeen2Spain

My enzymes fluctuate all over the place but after each covid they go up , sometimes significantly (AST 1,000 ). This last time both AST/ALT less than 60 & ALK PHOS less than 200 x 3 - - I was so excited, as was my doctor. Then got covid AGAIN, back up to ALT 150's & both AST & ALK low 300's . I'm getting blood work soon. While my enzymes do this after covid, they can also do this by themselves. They really don't know why, only reasons given so far are NAFLD & covid. . Very frustrated & new to fatty liver diagnosis. Sorry I wasn't more helpful.

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