High ALT levels in fatty liver and Elevated ALT levels

An elevated ALT levels in your blood test results could be a sign of a related disorders and diseases, such as Fatty Liver disease, Hepatitis B, Hepatitis C, Cirrhosis, and others.

ALT is a commonly required blood test requested by many physicians from their patients. It’s used to confirm or rule out liver disorders, simply because the enzyme is mostly concentrated in the liver, which is why a higher levels of the enzyme may suggest a problem in the liver.

What are the normal ALT enzyme levels?

Elevated ALT LevelsThe normal level of ALT in the bloodstream is 5 to 45 U/L (units per liter). This range can slightly vary depending where you take the blood test.

When a blood test shows elevated ALT levels outside the normal range, even a small amount, fatty liver and other liver disorders might be the cause.

If the cause of the ALT enzyme level increase is due to a severe liver disease (like Cirrhosis), the levels would be higher than what’s found in fatty livers patients.

Please note that some labs name ALT as “Alanine Transaminase”, “Alanine Aminotransferase” or “SGPT”.

What should I do if I have an Elevated ALT levels?

After you got your results, the first thing you need to do it to consult your physician, the one who requested from you to take the test. He can check the results and choose the next course of action.

In most cases, a follow-up blood test is required to confirm that the first results are not a one-time mishap.

If it is confirmed in the second blood test, you are most likely be required to do an abdominal ultrasound scan. The ultrasound is a necessary tool to look at the liver tissue and to confirm the existence of fatty liver and its severity.

How can I lower my ALT levels?

The most important thing to remember is that most liver diseases such as fatty liver, are very treatable. Fatty liver is also the most common cause of an elevated ALT level.

The main course of treatment is through a determined and decisive actions to heal your liver. It will include weight loss if you’re overweight, change in your food habits, exercise, and more.

Stop eating fat-concentrated foods, and start eating healthy. Use foods for fatty liver recommendations to learn more about what you should and shouldn’t eat. For full details please read thoroughly about fatty liver treatment.

Persistence and a real change in your life-style are the keys to lower your ALT levels.

High alt levels fatty liver

You might need some guidance

This a thought and a big change that isn’t so easy to carry out. It will need your full attention. Your health should be the #1 priority. If you need any guidance, I high recommend the fatty liver diet guide written by Dorothy Spencer BSN, RN, that has been a proven liver diet program that works. It helped a lot of my own patients. Click here to learn more about it.

Fatty Liver Diagnosis

Fatty Liver diagnosis is somewhat tricky, because you don’t have any symptoms to begins with. And if you don’t have any noticeable symptoms, it’s very hard to actually get diagnosed. You might as well have fatty liver for years and even decades without even knowing it.

Most people who have been diagnosed with the disease were because of a routine blood test.

The First Blood Test

The first blood is the most important one. It’s the test that starts the diagnosis process. Without it, you’d have a “sleeper” disease within your liver.

A blood test can detect a liver disorder by evaluating the liver enzyme levels – ALT. If the blood test results show an high levels of ALT, it’s a sign there is an issue with your liver.

This is the time were your physician will most likely ask you to redo the blood test. But this time it will be very focused on the liver.

Second Blood Test

This blood test has two goals:

  • Rule out common liver conditions, such as Hepatitis B and Hepatitis C.
  • Include other tests to check your liver condition more closely.

The most important blood tests that check your liver’s condition are ALT (also called SGPT), AST (also called SGOT), and Bilirubin.

If Hep B and Hep C have been ruled out, high levels of ALT and/or AST may suggest a fatty liver. You can read in more details about liver function’s blood test here.

Liver Ultrasound

After the blood tests, you will need to do an abdominal ultrasound scan. This will allow for a close examination of your liver tissue to confirm whether you have a fatty liver and its severity.

More details on Fatty Liver Ultrasound >>

* Note: In rare cases where there is no clear sign of a fatty liver even though a blood test shows high liver enzyme levels, a liver biopsy might be needed.


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