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ALT 405, AST 383 in random test (no symptoms)

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mike62510
mike62510

Hi, I wanna ask about any theories as I have to wait for my appointment for two weeks and I know the lab results already. My ALT and AST came back extremely high (as per title) and there is no cause I can see. Other labs are good, I have no liver symptoms, have no form of viral hepatitis (was done in the same lab). What can be the reason? It was Monday after a weekend of heavy drinking which I don’t normally do, but I don’t think two nights can cause such extreme elevation. Any theories guys?

Mike

0 likes, 3 replies

3 Replies

  • matt66
    matt66 mike62510

    Posted

    Hey Mike.

    It's more than likely the weekend. If you were on a bit of a binge, it's going to take you liver a few days to calm down because it's been working overtime for 48 hours. I know it's a magic organ but it doesn't clear everything and that's that. It's had to produce a lot of extra enzymes to deal with all the ETOH from a heavy session and it takes time for it to get back to normal. AST is found in other organs, but if you're worried about inflammation then check the GGT and AP. If you had cirrhosis then I'd expect to see bilirubin up as well (but can be raised after drinking too).

    I'm not a doctor so make sure you express this to them. They'll probably order another labs.

    I'm a liver transplant recipient, but not a Doc!!

    Good luck.

    • mike62510
      mike62510 matt66

      Posted

      Thanks for the reply. Those liver markers are so scary as they rise so dramatically. My family has weak genetics and fatty liver even in those who are thin and keep really nice diets and I’m too weak to that. So that lab freaked me out, especially as in my country treatment is sadly still more third world than typical Western, so huge waiting times and probably no chance for a transplant if it ever got that bad. So once again thanks for the reply!
    • matt66
      matt66 mike62510

      Posted

      Hey Mike, just curious....Did you get another lab's done and were they ok?!

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