fluctuating ALT

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New Member

Date Joined Jan 2016
Total Posts : 16
   Posted 6/8/2017 12:43 PM (GMT -6)   
hi all,
last year after my annual blood tests, my ALT was fluctuating from 38, 80,68,29 so all HEP tests were done, Negative thanksfully. since last reading was 29, no more tests were done. this forum has helped me tremendoulsy with all warm inputs from all the members that i have talked to. Still grateful for that.

then this year i switched insurance carrier, and again ALT was fluctuating from 46,40,46 (6 months span and max range is 32).
my new doctor still wants to monitor and discuss with me on my schedule appt on 6/20. Shall i push for a liver ultrasound or see a specialist? she keeps on saying it's mildly elevated and shall be monitored, but doesn't seem concern. Since this is 2nd occurrence, i want more testing to be done.

I'm only 38, not overweight but have elevated chlostereol and borderline diabetic. Given that my diet hasn't been all good lately, can it be related to that? Shall i listen to her and wait or push for more extensive testing now? i'm worried of the fluctuating trend. Are the numbers concerning?

thanks all.

ppm guy
Veteran Member

Date Joined Apr 2010
Total Posts : 1197
   Posted 6/8/2017 4:04 PM (GMT -6)   
hi nhelen, welcome back,
A couple things stand out in your post. Diet, high cholesterol, and borderline diabetic.
These 3 things are usually present when fatty liver is suspected. Are you taking a statin drug for cholesterol?

I would discuss a diet with your dr., that should bring your numbers into a normal range. I have to follow a semi strict diet. in the beginning it was tough, not having ice cream, and pizza with friends.
But my next bloodwork showed my LDL(bad cholesterol), and A1c were much improved. The good test results gave me the motivation to stay on the program. and I was able to lower my Lipitor dose. Statins can cause an elevation in ALT.

I would not be overly concerned with your present numbers. Let me know how your next dr visit goes.

New Member

Date Joined Jan 2016
Total Posts : 16
   Posted 6/8/2017 5:56 PM (GMT -6)   
thanks ppm guy. I don't take any medicines yet. I'm trying to go with daily excercise (walking for 30min at least at the Gym) and cut down on unhealthy food.

I will update once i get to talk to her again on 6/20. I'm wishing that the current numbers are not signaling any liver damage/C word sad In the mean time, i'll take care of my diet.

With health anxiety, every health scare is x10.

ppm guy
Veteran Member

Date Joined Apr 2010
Total Posts : 1197
   Posted 6/8/2017 8:02 PM (GMT -6)   
I totally understand anxiety with chronic health issues. But your numbers now can not cause much damage, if any. Fatty liver is reversible. Good to hear that your making positive changes.

I remember your posts from last year. you were hoping to start a family, when healthy again. Hope your plans are working out. talk to you later, and relax, you got this...

New Member

Date Joined Jan 2016
Total Posts : 16
   Posted 6/9/2017 11:23 AM (GMT -6)   
thanks so much ppm guy. I'm still trying for my 2nd kid but no luck so far then came this dreadful annual blood test smile will definitely provide update. If my GP doesn't refer me for ultrasound, i'll find another doctor.

last night i walked for 3 miles around the block. it was a good experience. I will try to keep it up until i sort out what's wrong with my ALT.

Post Edited (nhelen79) : 6/9/2017 11:33:17 AM (GMT-6)

Forum Moderator

Date Joined Apr 2007
Total Posts : 848
   Posted 6/12/2017 12:16 PM (GMT -6)   
hello nhelen79,

I wouldn't worry so much either. Continue your path of diet modification and increasing exercise (whether your numbers improve or not). Exercise is beneficial even when diagnosed with an ailment. Do you drink alcohol regularly?
Co-Moderator - Hepatitis
AIH Jan 2007
CMV June 2008
Raynaud's February 2010
Meds: Azathioprine 100mg & Ursodiol 250mg BID

New Member

Date Joined Jan 2016
Total Posts : 16
   Posted 6/30/2017 1:55 PM (GMT -6)   
Hi all
Here is my ultrasound result. Dr will call me to explain
Is liver size normal? Look like I have fatty liver

LIVER: 13.5 cm. There is diffuse fatty infiltration of the liver.

PANCREAS: Mostly obscured by bowel gas, however visualized portions are within normal limits.


RIGHT KIDNEY: Normal in appearance.

LEFT KIDNEY: A nonobstructing 3 mm stone is seen in the inferior pole of the left kidney

SPLEEN: Normal in size.

AORTA/IVC: Normal.



1.Diffuse fatty infiltration of the liver.
2. 1.3 mm nonobstructing stone in the inferior pole of the left kidney

ppm guy
Veteran Member

Date Joined Apr 2010
Total Posts : 1197
   Posted 6/30/2017 8:22 PM (GMT -6)   
hi Nhelen,
according to Wikipedia, the normal liver is 3.5lbs, with a width of 15cm.

the fatty liver was expected

everything else looks good, liver wise. sorry about that kidney stone. I deal with kidney stones pretty regularly.

let us know how your followup with dr goes..
stay well Nhelen
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