Digestive Disorders / Gastroenterology Expert Forum
Elevated ALT
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Elevated ALT

24 year old male. 5'11 250 pounds. Gained 80 pounds during 2002 and 2003 through binge eating(depression). Has recently dropped 20 so far. Drank heavily(5 nights a week, 10-12 drinks) for 2.5 years up until 2 months ago. Had two LFT recently.

4 months ago:
ALT: 170
AST: 90

1 month ago:
ALT: 220
AST: 110

Other tests were normal except (Ru...? something) which was 1.4. Have had Hep B vacs and tested negative for Hep C. I take 150 mg of Effexor daily.
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There are many causes for elevated liver enzymes.  Medications such as Effexor are potential causes - you may want to inquire about repeating the liver tests off the medication to see if this is affecting the liver.

You note that the hepatitis tests were negative.  I would consider a liver ultrasound to evaluate the liver anatomy and gallbladder.  Causes such as fatty liver (which may be caused by alcohol) as well as gallbladder disease are potential causes.  

If negative, the elevation of the enzymes are high enough to warrant a liver biopsy.  This can be discussed with your gastroenterologist.

Followup with your personal physician is essential.

This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.

Thanks,
Kevin, M.D.
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Does anyone know how to lower your alt liver enzymes?
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