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Elevated ALT all other numbers are normal

Posted by leonorleans @leonorleans, May 19, 2023

Hello friends you may remember me from this thread "What can I do to keep my gallbladder healthy?" https://connect.mayoclinic.org/discussion/what-can-i-do-to-keep-my-gallbladder-healthy/

I've been having my liver enzymes tested periodically. The numbers in the hospital April 28th were ALT 52 AST 23 when I left the hospital and since then I've had two hepatic panels which both said ALT 94 & AST 23 and today ALT 100 and AST 33. My other liver numbers are completely normal. The MRI I had visualized the liver and it was noted as unremarkable. The gallbladder was shown as 4 small 2mm calculi on the inside with extremely mild edema, a HILA scan was recommended. I'm not jaundiced, fatigued, nauseous, constipated, vomiting, sick or whatever in any way. I have a little fatigue and mild bloating. My white count is normal, everything is normal. I don't take nsaids, I eat a low fat, gluten free diet. What could be causing my elevated ALT? I want to bring this information to my doctor with me but I have no theories. Google suggests NAFLD but I didn't have elevated liver enzymes ever in my life. My physical was on April 3rd my labs were normal. Let me know if you guys have any ideas thanks.

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leonorleans | @leonorleans | May 21, 2023
In reply to @mmc "My heart goes out to you. I’ve had some of those issues (I take vitamin B..." + (show)
@mmc

My heart goes out to you. I’ve had some of those issues (I take vitamin B complex and have to take D3 but otherwise that it other than a daily allergy pill for allergic asthma), and I can attest to the fact it takes a while to get a diagnosis when there are comorbidities that complicate your diagnosis. I’m hoping they can find the cause of your symptoms, and truly help you’re able to eat more than what you’re currently able to consume…hangry isn’t any fun :/

Speaking of fun(ny), I like the clever reference to your mutation! Gotta love genetic testing and the acronyms and initials that come from them.

Wishing you a speedy diagnosis and good health!
M

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Thank you very much! There's a whole book on it called the mother f-er gene. It does make me giggle at least there's that! 🙂 I'm hopeful I just gotta get to the gastro. Thank you so much 😊😊😊😊

REPLY
leonorleans | @leonorleans | May 22, 2023

Hi everyone I saw the gastro today I felt very handled like all he saw was a fat person. My ALT is 100 it was 52 April 28th when I left the hospital. He suggested I have fatty liver disease before that it was normal on April 23rd before my gallbladder attack. I feel so defeated and unheard. I'm worried liver disease or injury is rapidly developing and I just wish someone would hear me and say sure "I'll take a look at it for your peace of mind so you can go into surgery with a clear head." Because once I get surgery more complications with my liver could arise.

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jojo | @jord | May 24, 2023

My ALT is high, but other tests are normal. Two doctors told me it is okay. I have a small area in liver that is fatty but they said it was okay. I hardly eat anything that has fat, but I have high cholesterol and have started taking Krill oil. I think high cholesterol can cause fatty liver.

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leonorleans | @leonorleans | May 24, 2023

Oh yes as well as just having a lot of belly fat and living a sedentary lifestyle. For some people though, it's genetic. I believe that insulin resistance can also lead to fatty liver disease. Uh and just a high fat diet in general. But I don't really know too much about it.

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