High Alt and Ast scores

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New Member

Date Joined Feb 2010
Total Posts : 1
   Posted 2/3/2010 8:36 PM (GMT -7)   
I just received news that at my last blood test my Alt was 192 and my Ast 153. What does this mean? I am screwed?

Forum Moderator

Date Joined Apr 2007
Total Posts : 846
   Posted 2/3/2010 8:59 PM (GMT -7)   


Has your doc discussed more tests?  You'll need to figure out what's causing the increase in your enzymes.  They'll likely do another set of labs in a week or so.  Probably order a CT scan or MRI of your liver.  They'll also do all the viral hepatitis serologies.  Those take a few days for results.  There are a whole lotta things that can elevate your levels.  Are you a heavy drinker?  Do you know if you have Hep A, B or C?  Are you overweight?  Have you been on any antibiotics or taking any supplements lately?  Are any other levels elevated?  Like bilirubin or Alk Phos?  How about PT or PTT?  Do you have a copy of your labs?  If not, start keeping copies of your results.

Be sure to speak to your doctor and don't freak out!  Those aren't super high.  When mine first went up they were ALT: 848, AST: 740.  I know of others who were in the 1000's.  Everyone is different though with how their bodies react to the increases.  I was diagnosed with Autoimmune Hepatitis.  It's a chronic condition but is fully treatable.
Keep us posted and please follow up with your physician.  If they have trouble figuring it out, get a referral to a hepatologist.
Diagnosed with AIH January 2007,
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Elite Member

Date Joined Jul 2005
Total Posts : 12014
   Posted 2/3/2010 9:14 PM (GMT -7)   

Cliodude, welcome to the forum.  Dany gave you very good information.  Please follow up with your physician.  The cause for the elevations will have to be determined and then further testing done to find out the extent of any damage to your liver.

Please update us when you know more.



Forum moderator - Hepatitis
"But that was yesterday, and I was a different person then."
Lewis Carroll, Alice in Wonderland

Regular Member

Date Joined Sep 2009
Total Posts : 31
   Posted 2/3/2010 9:20 PM (GMT -7)   
Hi there. I recently had blood work done because I was having stomach pains. My scores were very similar. I had an ultrasound and it turned out to be gallstones. My liver was normal as were my other scores like bilirubin. I agree with Dany, don't freak out. I had also read everything on the internet and was convinced I had a damaged liver. My father is on hospice for alchohol induced cirrhosis so I am extremely sensitive to anything liver related. Do follow up and think positive thoughts.

Veteran Member

Date Joined Sep 2009
Total Posts : 1176
   Posted 2/3/2010 9:39 PM (GMT -7)   
cliodude said...
I just received news that at my last blood test my Alt was 192 and my Ast 153. What does this mean? I am screwed?

Hi cliodude,

Please don't be too worried yet! As the other posters said, you need to find out why your enzymes are elevated. There are so many reasons that they could be high (fatty liver, celiac sprue, gallbladder problems, a viral infection, etc., etc.)....it may not be anything serious at all. Let your doctor finish testing you and then he or she can make the diagnosis.

Good luck! Please keep us posted!

P.S. Those AST/ALT numbers aren't very high.....I have autoimmune hepatitis, which means that my immune system is making antibodies against my liver (trying to kill it). The very first time I found out I had a problem with my liver my AST and ALT were both over 3200! smhair
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