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Dr  S.A.Alam
Dr S.A.Alam, Doctor
Category: Medical
Satisfied Customers: 4373
Experience:  MBBS/FCPS/MRCP(R) U.K
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Can weight loss and less alcohol lower elevated enzymes?

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My test revealed AST levels of 45 and ALT levels of 71. Next test was ultrasound. I am a female who is 52 years old, obese, having drinks socially. Can these elevated enzymes be lowered to normal ranges by weight loss and less alcohol?


Thank you for using Just Answer.

Normally AST is higher than ALT if the liver injury is due to alcohol.

There are some conditions in which ALT can be higher than AST which include:

1) If there is cirrhosis of the liver.

2) Liver injury is due to other causes like viral hepatitis.

So a further blood work up for viruses like Hepatitis B and C may be required plus, ultrasound of the liver to check the liver status.

I hope this answers your question.

Customer: replied 6 years ago.

I am scheduled for the ultrasound next week. This test determines liver status. Does this mean inflammation and damage? Then followed by an additional blood test to determine hepatitis? Are there symptoms related to elevated enzymes?


Thank you for your input.

Yes, elevation of these enzymes does indicates liver damage, in case of very severe damage as in cirrhosis.These enzymes can be normal or lower than the normal limits.
These symptoms may be present in case of alcoholic hepatitis.
See this web address:

I hope this answers your question.

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