Understanding Elevated Liver Enzymes: ALT and AST Levels Explained

Recently, you received your blood test results and noticed that your ALT (Alanine Transaminase) level is 102 and AST (Aspartate Transaminase) level is 51. You might be wondering, what does this mean? To provide you with a comprehensive understanding, we will cover what these liver enzymes are, why they can become elevated, and what steps you should take to address these results.

What Are ALT and AST?

ALT and AST are liver enzymes. They play vital roles in the functioning of your liver, which is responsible for detoxifying substances in the body, including medications, poisons, and other harmful compounds. ALT is primarily found in the liver, with smaller amounts present in the heart, muscles, and kidneys. AST, on the other hand, is present in various organs including the liver, heart, and muscles, with higher concentrations found in liver cells.

Why Are ALT and AST Levels Important?

ALT and AST levels become elevated when liver cells are damaged. This can occur due to various reasons, including:

Medications: Some prescription and non-prescription medications can cause liver damage, leading to elevated enzyme levels. Over-the-Counter Supplements: Even though they are available without a prescription, many over-the-counter supplements can cause liver stress and elevate these enzymes. Alcohol Consumption: Excessive alcohol intake can lead to liver damage, causing both ALT and AST levels to rise. Diseases: Certain liver diseases, like hepatitis or cirrhosis, can also cause these levels to increase. Physical Trauma: Sudden physical trauma or intense exercise can temporarily elevate these enzymes.

Interpreting Your Test Results

Two weeks ago, your ALT and AST levels were around 50 each. Now, they have elevated to 102 and 51, respectively. While these results are not dramatically high, it is still important to investigate the cause. Here are some steps you can take:

Revise Your Medication

If you are currently taking acetaminophen or a medication like Percocet, consult with your doctor to switch to one that does not contain acetaminophen. This can help prevent further liver damage. After switching, retest your liver enzymes to see if the levels have returned to normal.

Assess Over-the-Counter Supplements

Even though over-the-counter supplements are widely available, they are not always safe. Cutting out any supplements you may be taking can help your liver function better and potentially lower these enzyme levels. Repeat your blood work to monitor the changes.

Maintain a Healthy Lifestyle

Lifestyle factors such as alcohol consumption and physical exercise can also affect your liver enzymes. Reducing alcohol intake and avoiding excessive physical stress can help your liver recover. Regular blood tests can help you track your progress.

Conclusion

In summary, elevated ALT and AST levels indicate that your liver may be under stress. Although these results are not alarming, they should be taken seriously. By addressing the potential causes, such as medication, supplements, and lifestyle factors, and repeating the blood tests, you can better understand the state of your liver health.

If you have any further questions or concerns, consult with a healthcare professional for personalized advice.