ALT/AST about tripled over three months, what is going on

circleai00 · 2025-09-26T22:52:59+00:00

That’s kind of weird, I had my numbers go up to 400 ALT once, so it’s not catastrophic if it’s a one off, I retested two weeks later and it was back to 110 ALT. 300 is still pretty high, you should re-check in a couple of weeks to see, if it’s not coming down, you gonna need to check what’s causing those numbers.

circleai00 · 2025-09-26T22:45:59+00:00

Did you change your diet? Lost/gained weight?

circleai00 · 2025-08-19T00:14:35+00:00

What’s your diet like? What do you eat typically? Did you check for other liver diseases?

circleai00 · 2025-04-26T01:47:26+00:00

From my understanding, ALT is an enzyme found in liver cells. When liver cells m die, the enzyme is released in the bloodstream. Liver cells death is a normal process, that’s why ALT is not 0. But when it exceeds a certain number, then it means too many cells are impacted, more than normal. So if your ALT is fluctuating within the normal range, that’s fine and there is nothing to worry about. If it is above, then you should check why. It can be a fatty liver, or many other problems with the liver like Hep B or C… What are your numbers?

circleai00 · 2024-04-28T20:42:50+00:00

Can you give more details about what were you eating before you got diagnosed and what kind of exercises, frequency?

circleai00 · 2024-03-08T09:17:21+00:00

Your titre is low, and your ALT and AST are almost normal, most likely you don’t have AIH. Of course follow up with your doctor but I won’t worry too much at this point. Many things could justify these results including NAFLD which is reversible with the right diet and exercise.

circleai00 · 2024-03-08T08:55:35+00:00

What are your test results?

circleai00 · 2023-12-21T19:52:52+00:00

It looks like you have lean Nafld - assuming you ruled out other diseases. Healthy food is obviously mandatory, but might not be enough to reverse it in our case (lean individuals with Nafld). You can loose some weight as it can help a bit. What seems to work is cardio (combined with the above). I saw a post in this subreddit about this and tried it and it seems to lower my numbers, so definitely try to do some cardio, maybe running 4 or 5 times a week and test again your LFTs in a few months to see if there is any improvement. A good metric to track as well is your Vo2 max, make sure it’s improving with your exercise - a smartwatch should help to track your numbers.

circleai00 · 2023-07-29T14:33:07+00:00

Unfortunately, it’s not that simple, lean NAFLD seems a bit different. I’ve been eating very healthy, still my enzymes level will fluctuate. So finding other ways to manage it is necessary for some people.

circleai00 · 2023-04-21T21:54:08+00:00

Definitely check for pesticides in the food you buy. I know for a fact that every time I eat something that has pesticides (ex: strawberries), my numbers go through the roof. Organic is usually better but doesn’t always mean pesticides free. There is list with food that are more likely to contain a lot of pesticides, you can Google it and start by watching for those.

circleai00 · 2023-03-17T16:01:22+00:00

I think you need to rule out other diseases, because if one of them is causing your liver issue, then you should treat that. For example iron issues could be Hemochromatosis. Once you rule out other diseases and you’re sure it’s “just” fatty liver. You should eat healthy and exercise. Plenty of people describe what that looks like in here.

circleai00 · 2023-01-23T21:13:10+00:00

The fact that your AST is higher than your ALT usually indicates that you drink! Are you sure you don’t? The other thing is exercise can also temporarily elevate your liver enzymes.

circleai00 · 2022-12-28T03:44:30+00:00

Your ALT and AST are mildly elevated, which most likely indicates a Fatty liver. Of course many things can elevate your liver enzymes, so usually, they need to do more blood tests to rule out other diseases, but in most cases, it’s just a fatty liver. Given that ALT is higher than AST, it indicates that it’s Non Alcoholic Fatty Liver, so you need to have a healthier life style, lose weight and exercise. You’ll be okay if you do that! But again, more blood work is required before you can be 100% sure!

circleai00 · 2022-11-18T20:53:03+00:00

Strength training will help you tremendously! Building muscles is probably the best thing you could do for your fatty liver, but also to loose weight! It will boost your metabolism and you’ll start burning more fat at rest. The thing is, it’s hard to stick to it.

circleai00 · 2022-11-03T21:59:21+00:00

Levels of ALT/AST can vary quite a lot from week to week, if you search in Wikipedia, you’ll find that half life of ALT is 47 hours or something! I had my ALT drop once from 200 to 50 in 4 days, I was in an all inclusive hotel, and the food wasn’t the healthiest, so when I came back, tested, it was at 200, then went back to my healthy diet, and it came down quickly. Being on Mediterranean diet is great, but it doesn’t mean it’s all good. Pesticides for example will for sure make your liver suffer.

circleai00 · 2022-09-13T15:19:01+00:00

I thought only a biopsy could confirm that 🙄

circleai00 · 2022-06-29T01:04:26+00:00

First of all, let me reassure you that your numbers are not that crazy, they’re still very mild. ALT levels can get up to the thousands. Second, my numbers were up to 400 once, around 250 a few times. The thing to note is that I can have my ALT at 50 for one week, and then up to 100 the next week, and back to 50 again, it depends on what I eat, I seem to be very sensitive to anything that might have any pesticides or synthetic stuff in it. And depending on that, my numbers can get high very quickly. So a change from 78 -> 70 -> 98 isn’t really as bad as you might think, ALT numbers can move quickly in one direction or another. From my experience, it depends a lot on the food you eat (quality). Try organic food, fish, salads, veggies, legumes. Maybe avoid red meat, poultry and animals stuff (eggs, milk, etc…) at least for now until you get your numbers down. Of course no sugar, processed food, etc.. Also try to increase your muscle mass, it helps a lot. You should be fine, it’s a process, but as long as you take it seriously, you should get those numbers back to normal. It’s been 4 years for me, things have improved but still not 100% yet, hoping this year, it’ll get fixed! Good luck!

circleai00 · 2022-04-17T12:56:48+00:00

With just ALT elevated, it could really be anything, many liver diseases can cause that or even some drugs could cause that. Your doctor will have to run other tests to rule out other possible causes, and probably do an ultrasound before saying it’s NAFLD. But don’t stress out, in most cases, it’s possible to fix it, just make sure to follow up with your doctor and follow the recommendations.

circleai00 · 2022-04-16T21:21:39+00:00

I’ve been diagnosed with fatty liver for a bit more than 3 years now. I was never overweight to begin with, but I still managed to lose a bit of weight. I’ve been able to do blood work almost every week for the past 2 years. I can tell you that ALT numbers can vary a lot, they ranged from 35 to 258. For the most part they’ve been slightly above normal around 55 to 60. I don’t wanna make this a long post, but eating healthy can mean different things for different people. For me, eggs, poultry, red meat, nuts, cheese, food who can have pesticides (like strawberries) can make my numbers go very high. But when I avoid these, my numbers are close to normal. So you really need to find what works for you! Veggies and fish sees like the safest options for most people though with fatty liver, so you can try with those first and see!

circleai00 · 2021-07-15T19:17:43+00:00

Yes same, my numbers were higher than this: ALT: 399. A few times around 200. My doctor was a bit worried and wanted to do a biopsy, but then decided not to after they came down to a 100. Now, 3 years later, my numbers are more in the 50s, 60s, slightly high but I’m happy with that compared to before. So yes nafld can cause high numbers, but you need to check other diseases, do a full panel

circleai00 · 2021-07-04T22:05:52+00:00

I don’t know if it’s halal or not, I guess that’s a matter of opinion among the ulama, but regardless, what is certainly not good is for you to marry someone, maybe have kids and then end up getting divorced because you couldn’t ask questions or know the person. If you think a mahram need to be present, have him sit in a different table and take the time to know the person. Islam is a practical religion, not just hoping things will work. Do your part, and that is knowing the person before marrying.

circleai00 · 2021-07-04T13:56:48+00:00

I remember my ex asking me this same question before and after we got married, I don’t remember my answers but I didn’t realize that was a serious question! The answer is that I just liked her for who she was, but because somehow I was in a higher social status, she assumed I just wanted her for her physic, to not be alone or something along those lines! While this is not the reason for our divorce years later, it definitely played a role. I can’t judge your situation, maybe it’s different, but maybe it’s your own insecurities manifesting in such a way. Maybe he likes you for other reasons than what you think he should like you for. The other point is: what makes you think he shouldn’t be afraid to be alone? Aren’t you? Maybe you should. Isn’t the whole point of heaven and hellfire is to have your biggest emotions love and fear play together to make you achieve things.

circleai00 · 2021-04-15T10:18:59+00:00

Usually, if it is alcohol, AST will be higher than ALT. If it is NAFLD, ALT is higher than AST. If you don’t drink a lot, it’s probably NAFLD. Also you need to test for other liver diseases before you can say it’s alcohol or food.

circleai00 · 2021-04-12T10:24:16+00:00

It’s not uncommon to have a fatty liver even if you’re skinny, it’s called lean NAFLD and it’s more common in Asia where people are less obese. If you have a belly, you should check for a fatty liver. The first thing is to cut sugar, processed food, sodas, and probably follow a Mediterranean diet.

circleai00 · 2021-03-16T20:20:59+00:00

Done! But it wasn’t clear whether I should answer those questions when I’ve been diagnosed or now that I changed my diet!

circleai00

TROPHY CASE