Could ALT levels be lowered to normal range?

This letter is from Mike, who was diagnosed to have a fatty liver few years ago:

A few years back I was diagnosed with fatty liver disease (ultimately by way of ultrasound after blood test revealed elevated enzymes). Since that time I have gained 30 pounds and am honestly overweight.

A recent blood test showed only one enzyme elevated, ALT, and the UL was 67.  My question is, is on ongoing ALT elevated above the normal limit of 45 to be expected since there is essentially no cure for fatty liver disease?

Said another way, from what I understand exercise and diet are used to “regulate” the disease as there is no cure.  Even with exercise and diet can it be expected that the ALT would go down to normal levels are still remain elevated above the limit of 45?  I have not exercised and my diet is not great. Thanks.

My answer to this question is short:

Even though fatty liver disease has no official “cure”, the fact is that with proper diet and exercise, fatty liver symptoms can be brought to minimum. Meaning, the ALT levels in the bloodstream would reach to normal if  a new life style is being adapted.

So yes, the ALT levels could be lowered to normal range if you are willing to take the necessary actions in your life.

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