Reddit ast higher than alt. A recent study 7 of 140 patients with nonalcoholic steatohepatitis (NASH; confirmed by liver biopsy) or alcoholic liver disease found a mean AST/ALT ratio of 0. On August 9 I had a liver enzyme blood test done and all the results were well within normal; however, when I used an AST/ALT calculator tool online, it said I had a ratio score of 1. I’ve had a couple of blood tests and my liver enzymes were AST over 400 and ALT over 700 but the next one they had gone down to AST 100 and ALT 400. Learn about symptoms and ways to lower high ALT levels. Doc called with results and said mild fatty liver. The most common causes are nonalcoholic fatty liver disease (NAFLD) and alcoholic liver disease. My AST went from 29 to 58 and my ALT went from 25 to 39. High levels of ALT in your blood may indicate that you have damage to your liver and/or a liver condition. Both enzymes elevated but ratio < 1 → Often related to viral hepatitis or non-alcoholic fatty liver Let's say for example that my ALT is 20 but my AST is 25, they're both in the normal and healthy levels, but Google says it may be an indication of cirrhosis if AST/ALT ratio is greater than 1. I have consulted 4 doctors and they have told me that the ratio is irrelevant in case the indivisual values are in normal range. Jan 18, 2025 · Liver function tests check the levels of certain enzymes and proteins in your blood. 7 mg/dl) and alk phosphates (69 U/L) were also in range. Ast was 160 and alt was 288. My AST is 62 and my ALT is 124. But if you continue to drink for several months or years, the damage may become irreversible. There was a study that was actually conducted on this topic and it shows that most strength athletes showcase increased levels of AST, creatinine and ALT. What should I do. High AST/ALT ratio may indicate advanced alcoholic liver disease rather than heavy drinking. I just got my blood work back and I’m kind of freaking out. now after 8 months. May 24, 2025 · High levels of liver enzymes in your blood may sometimes indicate an underlying liver condition that requires medical attention and lifestyle changes. AST higher than alt 37 year old female past drinker sober a year come October 30th. 5 years. 5 classically associated with alcoholic liver disease liver: acute hepatocellular injury alcoholic hepatitis active cirrhosis Drugs causing elevation in ALT paracetamol overdose (AST and ALT) phenothiazines, chlorpromazine barbiturates My liver function test report. The visualized parts of the pancreas & spleen appeared Jul 30, 2023 · ALT is usually higher than AST in most types of liver disease in which the activity of both enzymes is predominantly from the hepatocyte cytosol. Alt is 112 and my ast has doubled to 54 and is high for the first time. Can also be a sign of bone breakdown or medication side effect but its pretty rare. Also, males have higher average ALT levels than females. Does that mean I could have cirrhosis even though they're both in the normal levels? TIA!! For any of you past drinkers, when you have blood work done, did any of you ever have higher AST than ALT levels? If so, what happened and do you know what your ratio was? Around a year ago I had a blood test done and my liver enzymes (ALT and AST) returned high, I repeated it two weeks later and it returned in the normal range but still a bit high. My ALT/AST get really high if I get glutened. Good luck to anyone else on this journey! Archived post. I also wrote the difference in months (in red) and the ALT values (in blue). May 26, 2025 · However, an AST/ALT ratio greater than 2 characteristically is present in alcoholic hepatitis. I only know this because glutening makes me so ill I have to go to the ER. About 3 weeks ago, I went in for a physical with my doctor. I guess I should be OK despite the higher liver enzymes? Nyblom H, Berggren U, Balldin J, Olsson R. Just taking a dose of Tylenol or something g else weird can throw them off for a day or two. ALT varies throughout the day, and with the amount physical activity you’ve done recently. Aug 2, 2018 · Here’s an easy way to find out your AST:ALT ratio: divide your AST level as shown on your blood test results by your ALT level. Liver enzyme levels like AST and ALT fluctuate all the time. Everything else was normal, and got negative tests for Hep B and C. Levels in the hundreds would be more worrisome. 05, which is within the normal range. I also have my bloodwork results from 2 months ago, I didn't workout then, and my AST and ALT levels were just normal. Apr 12, 2023 · The normal upper levels of ALT are according to age and weight. Raised ALT / AST levels in the blood occur in pathologies that cause liver cell (hepatocyte) inflammation or damage. Bilirubin, AL, albumin, and total protein are all in normal range. Should I be concerned? What should I do? We would like to show you a description here but the site won’t allow us. This is a little something extra I added in regarding the usefulness of AST/ALT ratios: "The issue with AST/ALT-ratios is that they aren’t applicable for diagnostic assessment alone, serving more as an indicative cue for reasoning potential causative physiological issues, prompting further investigative testing in that area. It was at an automated lab. Should I be concerned about liver disease or cirrhosis? 23M : r/AskDocs r/AskDocs • Apr 11, 2024 · Recent blood work with doc indicates high AST (82 vs 41 last year) and ALT (58 vs 51 last year). (AST 62U/L when the normal range is 5-32 and ALT 115U/l for 5-45. It is important to clarify whether laboratory tests were performed in the fasting state because oral intake can cause mild elevations in liver tests. My other liver numbers are completely normal. What does this mean? For context: Age Jun 3, 2025 · An AST/ALT ratio equal to 1 (where the ALT is equal to the AST) may indicate acute viral hepatitis or hepatotoxicity. My ALT and AST values are fine, it's just that the ratio > 1 (1. I am 41, bmi is approx 32 (down from 35!), not diagnosed but possibly prediabetic and have slightly elevated cholesterol I just got my results and the AST level was at 153 u/L and ALT was at 134 u/L. The most common culprits are non-alcoholic fatty liver disease, viral hepatitis, alcohol, certain medications, and intense exercise. Therefore, raised ALT / AST levels are a marker of hepatocellular injury. Over the last year it was around a couple times a Jul 24, 2021 · My AST/ALT used to be in the 80 - 100 range, usually ALT higher. So my uneducated guess is that it is not a big deal, as you say. AST was not measure during that time. The ratio of aspartate aminotransferase to alanine aminotransferase: potential value in differentiating nonalcoholic steatohepatitis from alcoholic liver disease. What is the magnitude of AST and ALT elevations for acute viral hepatitis? Late stage fatty liver usually is in normal range or borderline high range with ast well above the alt. Children (especially those below 18 months) typically have higher ALT levels. My AST levels were within normal range (35 IU/L). Higher than normal ALT/AST levels and lower than normal LDL/HDL levels. This is my ~7th blood I Just had high blood pressure (slightly higher then yours) right sided pain (which quickly became severe but my ob said she has never seen preeclampsia progress like mine did) and elevated liver enzymes. Learn about ALT (SGPT) levels, what counts as dangerously high, and how it affects your health in this friendly, expert-backed guide. 2 can mean advanced liver disease. I want to hear your stories and how your body got healthier After quitting. Ultrasound and more bloodwork scheduled. Easier said than done, but that should really help! Since AST is also present in muscles, a high AST/ALT ratio might be seen in muscle-related conditions. Guessing it's the doubling of tuna (i. ALT has a longer half life in circulation and will remain elevated longer than AST. AST graph (ALT values in blue) AST normal values are supposed to be 5 to 35. Feb 7, 2022 · In addition, slight elevation of liver enzymes (AST is often higher than ALT in people who drink) is commonly seen. Talk to your doctor and work on getting your BMI to the 20s and it will likely resolve. Normal ranges for both ALT and AST vary by gender, age, and geography and are roughly Aug 29, 2024 · Hi folks, I read online that an AST/ALT ratio greater than 1. Apr 26, 2024 · Learn how to lower ALT, which is a type of liver enzyme, by making a few simple dietary changes, from drinking coffee to cutting out extra fat. Toxicity or some other acute process is far more likely than fatty liver. And so the ratio is 1. Apr 20, 2025 · Hi everyone. The GB appears normal without evidence of definite stones, signs of inflammation or biliary dilatation. I wouldn’t worry too much. 4 and that this could mean serious liver fibrosis or cirrhosis. Learn about the causes and implications of elevated liver enzymes, and explore the next steps for managing your liver health with Mayo Clinic Press insights. Your ALT level is close to being considered serious liver disease. One thing I found after my last blood result, is intense exercise including cardio can also cause AST & ALT levels to rise, because muscle breakdown also releases these enzymes into the bloodstream. Your levels are high and I would seriously recommend going to a doctor. e. Aug 30, 2024 · Access Labcorp Draw What Does High ALT Mean in a Blood Test? ALT is an important marker of liver function because it is more specific to liver cells than other hepatic biomarkers, such as alkaline phosphatase (ALP) and aspartate aminotransferase (AST). Therefore, you must seek medical advice for any ALT levels above the upper limit of normal for your age and gender. Hepatocellular injury and not necessarily cell death triggers the release of these enzymes into circulation. So maybe lay off all intense exercise for a week before your next test. If a second test shows it high still, they will probably want to do a special ultrasound to check for cirrhosis. It’s important to get a second test several weeks later to confirm the elevated levels since even a minor viral infection can lead to elevated levels. I'm totally late to the conversation here, but numbers trending in the right direction sound like a really good thing. I’ve only had 2 so far. I have elevated ALT (currently 152) and AST (currently 79) but trending downward after 5 months, however bulirubin going up (currently 1. Good job in going from 99 to 54 alt over 3 years. 18). Hello men, as the title says I got back some annual blood work today and my ALT has gone from normal range of 45 (test range says 0-60 is normal) a year ago to 89 today. Some prescriptions, pain killers, OTC supplements CAN make ALT and AST high. 5) but ast, alt numbers are super low like 7 and 5. He asked me to come back in next Friday to retest to see if it’ll go down. Feb 23, 2023 · Slight to moderate increase in ALT usually associated with much higher rise in AST AST: ALT ratio >2. They were in the 100s and 200s (they started induction and magnesium sulfate) and 12hrs latter in the 600s when I had my csection. I think they’re related because I am not taking other medication and barely ever drink. Should I be concerned? What should I do? Jun 2, 2024 · An AST/ALT ratio higher than 2:1 (where the AST is more than twice as high as the ALT) is a common sign of alcoholic liver disease. Now, long term, definitely need to figure out what’s causing the elevation, but they’re rarely a cause for immediate concern unless they’re over a 1000. Started on statins (Atorvastatin) in 3/2023. What were your highest AST and ALT levels and what was your experience in lowering them? I checked my levels a couple months ago. It’s not uncommon for doctors to order both liver function tests to gain a greater picture of your liver condition and overall health. I've had high (only like 10 points above normal) AST levels in the past but it's always correlated with me being sore. An AST/ALT ratio higher than 1 (where the AST is higher than ALT) indicates cirrhosis. I only drink occasionally and haven't really had any alcohol for the last two months. ) I am of course going to talk to my doctor (got an appointment next week). My hepatologist wants me to retest bloods in a month, this time adding GGT. 5'11" and 175 lbs and a very active person. I'm pretty concerned about the still high AST level and that jump in ALT level. Once you start having ALT/AST ratio's outside the normal range is when its concerning. TLDR: is high AST and ALT levels normal in your bloodwork after working out for the first time? Very nervous about posting this but I recently had a check up and my doctor informed me my ALT levels were high (42 IU/L). The first time was in… This is why if your ALT levels are higher, there’s a greater chance you have a liver condition than if your AST levels are higher. This just means that unless told otherwise by your doctor, you probably don’t need to go to the So I did a liver function test for the first time recently and I got: Alt: 128iu, high Ast:62 iu, high Ggt:23 iu, low Alp: 73, normal Total bilirubin: 0,2 mg/dl, low Albumin: 4. My AST/ALT ratio is currently 32/15 which is >2. In medicine, the presence of elevated transaminases, commonly the transaminases alanine transaminase (ALT) and aspartate transaminase (AST), may be an indicator of liver dysfunction. Mar 18, 2025 · AST/ALT Ratio Higher Than 2:1: An AST/ALT ratio higher than 2:1, where AST is more than twice as high as ALT, suggests alcoholic liver disease. (5-10 beers) He is overweight (250) and is 5’10”. High alk phos in isolation doesn't mean anything significant. Fortunately, steatosis and steatohepatitis often resolve rapidly after abstinence. My ALT levels have come back mildly elevated three times over the past three months- 62, 75, and 88 were my readings with Alkaline Phosphotase being normal every time, bilirubin also normal, slightly raised albumin and protein (went down), and with AST being 32, 35, and 45. Archived post. An AST/ALT ratio equal to 1 (where the ALT is equal to the AST) may indicate acute viral hepatitis or hepatotoxicity. If you have high levels of liver enzymes in your blood, you have elevated liver enzymes. Heavy exercise prior to a liver enzyme blood test can elevate the ALT or AST, but just how much exercise are we talking here? “AST and ALT elevation after exercise is related to inflammation of the muscles, or muscle cell damage, says Hwan Yoo, MD, a board certified gastroenterologist with Mercy Medical Center in Baltimore, MD. My question is, why in all this years No one doctor noticed that? Can the fact that the AST and ALT values are normal reassure me? Archived post. That was 20 years ago when I lifted heavy. The cut off is 40 so that means that my levels were 10 times higher than normal. However it’s borderline (mildly elevated considered 30-100). AST is 16 alt is 12 is it true if ast is higher than alt it’s cirrhosis????? My recommendation, as a highly unqualified non-medical professional on Reddit, is to ensure you are getting the RDA of vitamin e from your diet, abstain from alcohol, get your body fat down as close to 11% as you can get it, avoid fatty foods, increase your cardio workouts to strengthen your heart. Now 100% confirmed it is gluten exposure causing them, and my liver enzymes increase (about double). Oct 14, 2023 · Toxicity or some other acute process is far more likely than fatty liver. Which amount is considered significant? Aug 1, 2018 · AST elevations tend to be higher than ALT elevations; the reason is ascribed to hepatic deficiency of pyridoxal 5‱-phosphate, a cofactor of the enzymatic activity of ALT, which leads to a lesser increase in ALT than in AST. Mild isolated elevations of alanine aminotransferase (ALT) or aspartate aminotransferase (AST; < 2 times normal) may require only repeat testing; they resolve in approximately one-third of cases. 7 but I’ve always had high billirubin since birth. I was prescribed Rosuvastatin 40mg and have been taking it daily for the past 6 months. ALT was always normal in the years before statin use (23-30 range), but at 1 month blood test it went to 46 and now 6 months in, 60. Above 100 is considered a sign of liver disease. As you said, it’s still within the range of normal, and just because it’s slightly higher than it was before doesn’t mean it will continue to climb. Clinical interpretation often includes data from bilirubin, albumin, and prothrombin time. I looked at my results and below is the summary of my results: ALT: 28 AST: 57 Bilirubin: 0. I had some blood work done and he called me a couple of days later he called me with the results and mentioned that I had elevated liver enzyme levels. I recently noticed in my bloodwork that my AST had gone from 23 a year ago to 32 this year. Tests were negative for hepatitis. • An AST/ALT ratio equal to one (where the ALT is equal to the AST) is suggestive of acute viral hepatitis or drug-related liver toxicity. 7 He suggested that I lay off alcohol and Tylenol for about a month and we will retest my Jun 16, 2025 · Can high ALT and AST be temporary? What does it mean to have elevated liver enzymes?. Due to the severity of my illness docs actually were "sure" it wasn't Celiac/gluten causing my episodes. Mild, short-lived bumps often resolve once the trigger is removed, but levels over 3-times the upper limit of normal or persisting longer than six weeks should A community for Indian Medical Students and Practitioners (under- and post-graduates) to discuss and share their opinions, tips, study recommendations, memes, and to help upcoming Medical students ease their transition into the field of medicine. 6 in patients with alcoholic liver disease. Rest of my bloods were all good including GGT platelets etc. back then lft showed normal levels of ast and alt (both in 40s), just the bilirubin was high (2. Maybe I should just quit working out for a few days before my blood tests to avoid freaking out my doctors? After a week of waiting for the results, they showed that my AST was within the normal range. The graph is of the AST test. Feb 14, 2023 · Discover what happens when your liver enzymes are high and what elevated liver enzymes mean. For context, I've had two occasions where my AST and ALT levels were higher than normal from blood draws at the OB office. " IANAD, but if you're asymptomatic and your other metabolic markers are good, I wouldn't wind myself up over this. Ast/alt is greater than 1. Levels that are higher or lower than usual can mean liver problems. My bilirubin (0. All came back fine, so I assume it is the statins as I've never had issues with ALT and AST, and they started to rise immediately upon starting statins. 5, on Google it said that's indicative of cirrhosis?! I'm totally freaked out. For example, if your AST is 20 U/L and your ALT is 18 U/L, then your ALT ratio would be 1. Mildly elevated ALT and AST levels can be caused by nonalcoholic fatty liver disease (NAFLD) and alcoholic liver disease. ; Alcohol and Alcoholism; August 2004 Sorbi D, Boynton J, Lindor KD. He can honestly say he has maybe had a handful of drinks in the past 1. Adding a graph of my AST and ALT results. These numbers can be pretty fickle and are often normal when retested. 21 Male 6'1 185 lbs not on any medication non-smoker no history of liver problems So I just got my blood work results back and my AST and ALT came back at a pretty alarming rate (400 AST, 180 ALT). Liver enzymes Aug 4, 2025 · An ALT above 35 U/L in women or 45 U/L in men, and an AST above 40 U/L, signal liver-cell irritation. Of course, as with any health screening, I down played my drinking to "casually," meaning 1-3 drinks a week. From Wikipedia: However, elevated levels of ALT do not automatically mean that medical problems exist. Until then, I would love to hear Yeah, my ALT / AST levels were elevated, and the docs thought it was cirrhosis- thought my life was over (figuratively). You may very well have fatty liver, but something else is causing these marked elevations. I’ve had Fibroscan ultrasounds CT’s mris and just recently a hysterectomy and seen how pink my liver is! "The liver function parameters, AST and ALT, were significantly increased for at least 7 days after the exercise. High ALT and normal AST indicates fatty liver (does not prove, still need ultrasound other test). Certain medications can also cause elevated liver enzymes. Hi there, I’m a 21 year old male. This program will be done in 3 weeks, I'm sure that will help. So I did a routine blood test for the first time. The doctor said I can go home after he saw that my pain has passed and told me to do elective surgery. I decided to look it up and it might be a result of strength training but my doctor still recommended me to repeat the blood test About 3 months ago I also got a call saying that my AST/ALT were abnormaly high (150 IU/L for AST)! My doctor was very concerned about my liver and had me do a bunch of testing and several ultrasounds. My Fibroscan says fatty liver with 271 and 4. i was diagnosed with fatty liver s2 via ultrasound 8 months ago. 7). On the positive side, my cholesterol went from a total of 207 to 137, Triglycerides of 55 to 44 , HDL from 82 to 61, VLDL stayed the same at 10, and LDL from 115 to 66. 1 mri spot on liver is simple cyst left lobe. However, I must also report that the values of AST and ALT have always been normal and never higher than normal values (in the last analysis, AST=16U/l, ALT=7U/l). I do not have cirrhosis but my ast is always higher than alt. In NAFLD, the liver has more fatty tissue in it than normal. High liver enzyme levels may be temporary, or they may be a sign of a medical condition like hepatitis or liver disease. High ATL and high AST can indicate numerous things - a competent doctor knows what to look for. If you had cirrhosis you would have had high ast, alt and such. Apr 12, 2025 · An AST/ALT ratio of less than 1 (where the ALT is higher than the AST) is a general indication of fatty liver disease. My AST is 50 IU/L with a reference range of 0-44 given. It could be but to be honest, ALT is barely out of range and AST is in range high end. I guess I have never had my liver enzymes elevated and this was concerning to me. We would like to show you a description here but the site won’t allow us. Hepatic transaminases (ALT and AST on the complete metabolic panel) frequently have transient low-level elevations - up to 2-3 times normal - for entirely benign reasons. I have been drinking for 2 years. 1) and there was pain. What are liver enzymes?. Just got checked today and I’m just waiting for results. I don’t feel like that would be enough to damage my liver too badly (my parents drink about the same as I do or more, and have been AST/ALT levels up to a 100 would suggest mild inflamation, maybe some minor liver toxicity (medicine, alcohol, fatty liver disease) etc. Great advice, I’m midway through a similar experiment and increasing cardio is a big part of it. I was told by the lady giving me my results that all looked OK. Your numbers are quite high, so you need to arrange an ultrasound and possibly fibroscan. Nov 4, 2021 · Alanine transaminase (ALT) is an enzyme that mainly exists in your liver. Best thing to do is adopt a Mediterranean diet, stop any and all supplements you may be taking and get some exercise. Liver biopsy (my request) showed drug induced liver injury. It is crucial to understand that elevated ALT and AST levels alone do not diagnose a specific condition. Welcome to the lab! And this is an interesting one! And there are several possibilities. Diet and exercise which I’m doing (down 15 lbs so far). Now after a third blood test my enzymes are still above what the “normal range”. It is used to evaluate disease progression, especially liver disease. Apr 11, 2024 · I feel great, other than a little taxed from outside stress and the higher volume lift program I'm on. My husband (27m) had a AST level of 157 and a ALT level of 129. My CK used to run in the low 2000's. Blume treats over 65 conditions including abdominal pain, appetite loss, blood in stool, celiac disease, colon cancer, esophageal and liver disease, gas and IBS. Other medical conditions can increase liver Every single article I’ve read about fixing ALT and AST levels points to reducing simple carbs and processed foods. I do get anxious about my stomach sometimes (I absolutely despite vomiting) and take a dramamine, but only one in a 24 hour span if at all. Elevated AST higher than ALT can point to damage from alcohol and is seen in alcoholic hepatitis cases. For background, I'm a 22 year old male in great shape. The higher your ALT and AST levels, the more dangerous and the more significant your liver damage. 1 up from 0. The numbers in the hospital April 28th were ALT 52 AST 23 when I left the hospital and since then I've had two hepatic panels which both said ALT 94 & AST 23 and today ALT 100 and AST 33. Had an ultrasound, and it came back as just a fatty liver- had the blood tests again and, the levels have calmed down but are still out of whack so doing everything I can to give my body a fighting chance- healthy food Has anyone had ALT levels this high with borderline AST like these that are simply associated with fatty liver disease? Update: Had my ultrasound today. The De Ritis ratio refers to the ratio of AST to ALT. Changes occur slowly so no need to worry about anything urgent. Liver bio markers like AST and ALT can fluctuate quickly. liver has been enlarged and pain is increased, upon doing lft. The treatment is weight loss. My ALT had previously been 91 but dropped within two weeks of being sober. My labs came back and my liver enzymes are super elevated (ALT of 186 and AST of 108). If a second test shows an elevation still, you should get referred to a How high is high? ALT/AST normal values are pretty low, like under 50 depending on exactly what lab does the test and what test they use. Consider retesting your liver function tests in 14 days. My kidney function has dropped in a year from 94-61 and I attribute that to all the contrast used in 3 cts and two mris. If so, you (or your doctor for prescriptions) need to rethink taking these. 8, indirect is 1. higher AST/ALT levels than baseline and future dosing? So i've been on a 50 mcg e patches for about a little over a month. If it were me I wouldn’t go down the NAFLD path yet. Mar 24, 2018 · ALT / AST Alanine aminotransferase (ALT) and aspartate aminotransferase (AST) are enzymes found within liver cells at high concentrations. May 19, 2023 · I've been having my liver enzymes tested periodically. Jan 18, 2023 · Levels of ALT or AST 150, 200, or more are considered severe and need immediate attention by your doctor. You mentioned recent weight gain and poor diet, which all point to NAFLD. Sep 12, 2024 · Elevated GGT levels are associated with alcohol-related liver disease, with moderately elevated transaminases and often higher GGT in those with low-risk overall consumption. As a result my derm is taking me off accutane for a month, and will only proceed with an extremely low dose afterwards if my blood test returns normal. And just some clarifying questions: is the patient consuming alcohol? And in a chronic/abusive pattern? was the ast/alt ratio roughly greater than 2 on the subsequent redraw? does the patient have any other elevated liver enzyme tests? (Bili, alk, ggt)? does the patient have any kidney issues? Or genetic We would like to show you a description here but the site won’t allow us. I drink a moderate amount, about 2-3 drinks a day on average. AST is consistent and normal at 35. Al-coholic liver disease should be suspected in patients with elevated ALT and AST levels (if the AST level is two to three times higher than normal7) and with a history of excessive alcohol use. This isn't a particularly impressive elevation. Also inflammation from various sources but I've heard it's highly related to alcohol. The ALT and AST values won’t necessarily be as high as expected for this. All other extensive bloods normal except for low copper (not Wilson’s Disease). All other bloodwork and stats were great A significantly higher AST than ALT may suggest alcoholic hepatitis or advanced fibrosis, particularly when the AST/ALT ratio exceeds 2. Understanding their concentration levels informs practitioners about a My doctor was shocked to see that my AST and ALT levels which measure fatty enzymes in my liver were elevated well above 400. Elevated ALT levels are more directly associated with liver health, making it a useful indicator. Regular or heavy alcohol use can also hurt the liver and increase liver enzymes. If though you sustain steotosis for a very long time 10-40 years you might raise your risk of getting liver cancer or cirrhosis. An ALT blood test is often included in a liver panel and comprehensive metabolic panel, and healthcare providers use it to help assess your liver health. My ALT also went from 9 to 15. How to Interpret the AST/ALT Ratio in Your Lab Results AST and ALT both elevated with a high ratio (> 2) → Think alcohol-related damage. ) He also tested for other stuff, I guess to rule out anything other than the statins causing this. ALT and AST don't really tell you anything about the condition of your liver - they are markers of hepatocellular injury, meaning something is currently irritating or damaging your liver. You should stop drinking alcohol altogether and consider stopping any non essential medication until you figure out The best I kind find is this: • An AST/ALT ratio of less than one (where the ALT is significantly higher than the AST) is suggestive of non-alcoholic fatty liver disease. (ALT 5 to 45. This thread is archived New comments cannot be posted and votes cannot be cast comments Best I take breaks from drinking but definitely drink more wine than I should…anywhere from 2-5 glasses in a night and probably 4-5 nights per week. In addition, LD and, in particular, CK and myoglobin showed highly elevated levels. . Anyone experienced high ALT and AST (>3 times normal value) while on Humira ? (I'm on Amgevita - Humira biosimilar) If yes, have you stopped the medication or took anything to help the liver ? Today (monday), I went to the hospital to give bloodwork for a routine control, and it showed my AST and ALT levels are pretty high. Had an ast of 126 and alt of 61. No focal lesion is seen. Intro Lower levels of alanine aminotransferase (ALT) and aspartate aminotransferase (AST) often elicit questions regarding their significance in health contexts. ALT>AST mildly elevated suggests fatty liver disease which can progress to nonalcoholic cirrhosis over years. 9 in patients with NASH and 2. ; American Journal of EDITED TO ADD: title should be ALT going up and AST still higher than normal, should I be concerned?* 29F, no smoking or drinking, on methotrexate and Infliximab for UC & auto-immune polyarthritis In January, my blood work showed ALT level at 74 when normally at the highest I’m at 14 and usually 4-7. You should not take AST and ALT increases lightly. Positioned primarily within the liver, these enzymes play pivotal roles in amino acid metabolism and are critical markers for diagnosing liver function issues. Your AST and ALT aren’t that high. Jan 13, 2025 · The possible causes of high ALT levels in the body include liver disease, alcoholism, obesity, muscle damage, heart failure, and more. High AST Alt pain terrified I just had some blood work done due to some severe upper abdominal pain and my ALT and AST are very high ALT was 85 AST was 300. It is reversible at this stage. bilirubin is in same range (1. 5, normal So basically I have isolated transaminitis, went to a doctor and they completely freaked out, I did admit to taking quite a lot of herbs, though in whole form not supplemental, i also dont drink at all, they AST 209 and ALT 107. They gave me antibiotics and diagnosed me with acute cholecystitis. , heavy metals, 10 foil packets/ wk) or possibly a supplement I'm taking. High would be closer to 1,000. Main problem: ALT liver enzyme has been high for almost 6 years (results of blood tests in image) average level has been 64 ALT for the last 6 years (laboratory reference range <61), all other liver enzymes with the exception of AST (which was only once out of lab range in 2021 with a level of 78 with ALT 75 the day after intense exercise) have I had a metabolic panel during my yearly check-in with my primary care, and got an ALT of 163 U/L, and AST of 61 U/L. What Can Affect the Results?. If it was gallstones or anything you would have a high ggt too. The liver span is 16 cm MCL. Billirubin was 1. Hello, I 23 M got my lab results 3 weeks ago, ALT at 142 U/L and AST at 221 U/L, i have also got an ultrasound which resulted in Grade 2 diffuse fatty infiltration of the liver. I’ve got a consultation with a surgeon in 4 days and a CT scan scheduled 2 days after that. But now I see my AST is 18, ALT 12. [1][2] Other terms include transaminasemia, [3] and elevated liver enzymes (though they are not the only enzymes in the liver). And elevated means higher than 45. The pattern and degree of elevation of these tests along with the overall clinical picture can provide hints to the underlying cause of these problems. In practice for 25+ years, Dr. Jun 17, 2025 · What is the most common cause of high liver enzymes? There are many causes of mildly elevated ALT and AST levels. I’ve been on Mounjaro since August. And my last blood test is showing several abnormally high metrics, AST is 85, ALT is 14 (both 5x higher than pre accutane level), and triglycerides is 118 (double pre-accutane level). went to Take a blood test to see if things are going ok and noticed my AST and ALT levels are a bit higher than when I took my baseline. ewbh tbf rtqhly asxewul xbb uotd vymjmw guzyt pmcqk jdgn