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AST greater than ALT
Sep 5, 2010

I have recently be diagnosed with HCV and am trying to understand my lab results. My AST is 75 and my ALT is 58. Everything I've read says this means I have cirrhosis. I have been sober for 4 years, but had a drinking problem for 10 years or more before that. All of my other numbers look pretty good. My viral load is 2,340,000, but my platelets are 345. Do I definitely have cirrhosis? SHould I have a liver biopsy? Thanks you.

Response from Dr. Holodniy

You cannot determine just from elevated liver enzymes that you have cirrhosis. Other laboratory data, medical complications and a liver biopsy would likely be definitive.



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