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elevated ast, alt
Jun 17, 2006

I am a social drinker. Sometimes I drink heavily. Recently, blood tests showed my albumin was 4.7, ast was 1.36, and alt was 234. My doctor is sure these results are from drinking. I have stopped. How high can these levels go before they are irreversible? Do these results mean my liver is irreparably damaged? Will these numbers more than likely return to normal levels? How long will this take?

Response from Dr. McGovern

I think you meant that your AST was 136 and your ALT was 234.

Yes these liver function tests are certainly elevated and they can be caused by alcohol. You can get very high enzymes from binge drinking. Alcohol on a regular basis can cause scarring of the liver and permanent damage.

I would certainly stop taking any alcohol until your liver function tests get better - hopefully in about 2 to 4 weeks. If they do not return to normal, I think you should have further evaluation of other possible causes of liver disease as well, including hepatitis C if you have any risk factors.

If you are overweight, you may also be at risk for steatohepatitis (fatty liver).



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