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I have a question regarding AST/ALT test results from a recent LFT. My AST is 35 and ALT is 21, both in normal range. I read where a 2/1 ratio AST over ALT may indicate liver disease. But I read that ratio only applies to elevated AST and ALT levels. Is this correct? And if so in the normal range isn't a concern?
within the normal range there is no concern at all
dont be worried about this, since its in the normal range you dont have to worry
perfectly fine results
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any further questions?
Yes one, just out of curiosity.
in any case, your ratio is less than 1, which is normal.
AST is 35 and ALT is 21, which makes your ratio less than 2
i meant 2, sorry
My ratio is less than 2, is that what you are saying?
yes thats right, i meant less than 2
do you have any known liver problems?
Last year this time my numbers were AST 31 and ALT 21. Do these numbers fluctuate within the normal range or is the difference from last year 31/21 to this year 35/21 significant in any way?
yes, they fluctuate
no significance at all, they were normal last year and they are normal this year
the ration applies only when the enzymes are elevated
So in a snap shot of liver "functon" using enzymes, Albumin, Globulin, Bilibrubin ans ALP we have a pretty good idea of the liver being normal?
Seeing that the results are all normal, that is.
yes, thats right, with everything done you can be quite certain that liver function is normal
one other test that will absolutely confirm it is an Ultrasound of the liver
get this done also to be absolutely sure - some small effects like fatty liver may not cause any biochemical change but will show up on ultrasound
Is this something that is recommended for patients with normal results a year apart?
Yes, an annual checkup for those over 50 should include an Ultrasound of the abdomen.
Fatty liver is treatable?
yes, treatable with diet changes and exercise, it is reversible
needed specially if you take moderate to high levels of alcohol
or have high cholesterol, etc
With normal results over 11 month period (3 tests) any reason to concerned about significant liver damage?
not at all, as I said
the normal results mean that you do not have any liver damage
i mentioned the ultrasound only as a precautionary measure, so that you can be aware if there is any possibility in the future
My cholesterol was 238 now 216. Abstaining from alcohol and I am now may improve that number (along with exercise and diet)?
continue with that
then there is less chance of fatty liver also
Thank you. You have been very helpful.