elevated ast and alt

22 yo male, healthy, recent ast 47 and alt 108 with total bili 1.2, repeated within a week and the same levels. no meds, alcohol, symptoms in the past or now. no health problems. hepatitis panel negative. grandfather and uncle with probable anti-tripsin deficiency, but not confirmed. both died from pulmonary fibrosis. would you wait a few months and repeat levels since he is so healthy. I am terrified of the health insurance ramifications if he has a bunch of testing done is he should just wait.

[Kevin Pho, MD]

Obtaining further testing is recommended.  I would consider an abdominal ultrasound to exclude anatomical liver or gallbladder abnormalities.  

Blood tests to check the ferritin levels as well as for hepatitis can be considered as well.  

I agree with serial monitoring of the liver enzymes.  If the enzymes continue to rise, a liver biopsy can be considered.

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.

Kevin, M.D.
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