Liver blood tests - fatty or something else?

[BazzaBazza]

I had some blood tests (LFTs) that showed this:

AST: high at 58. (10 - 40)
ALT: high at 115 (5 - 40)
Gamma GT :?high at 111 (5-50)
LDH: 132. (120 - 250)

Chol 5.9. (3.9 - 5.5)
Trigs. 1.7. (0.6 - 2.0)
Iron. 15. (5. - 30)
TSH. 1.4. (0.3 - 3.5)

B12. 283

Haematinics

TIBC. 86 H. (45-72)
Transc Sat. 17L. (20-55)
Ferritin. 232. (30-300)

"These iron studies may reflect the effect of acute or chronic illness. However iron deficiency is unlikely."

and a ultrasound that maybe showed a fatty liver.  I am 10kg overweight (91kg = 200lbs).  Doc says I should lose weight as 'some people need to be skinny'.    

My question is: Do these numbers look a long way out - should I see a liver specialist or should I just concentrate on getting my weight down.  i.e. are these figures alarming or average for a person who hasnt been getting enough exercise and is maybe prone to retaining fat on the liver.  (NAFL?)

I don't drink alcohol often but when I do I normally exceed a 'few' - when I had this test I may have had some beers maybe three days before.

[BazzaBazza]

I don't have Hep C - sorry I was trying to get a liver forum.  Thanks the explanation of the numbers is very helpful.  I get new results tomorrow, I think I'll need to take it further and go see a specialist.

[HectorSF]

Do you have hepatitis C?

"My question is: Do these numbers look a long way out - should I see a liver specialist or should I just concentrate on getting my weight down."

Most of the blood tests you had are used to determine if you have abnormal iron levels ONLY. You need more tests such as ALP, bilirubin, platelet count, albumin, total protein, etc to know more about your fatty liver disease.

You ALT is high which may indicate something is injuring your liver.
GGT may be caused by liver disease or damage to the bile ducts, they may also be caused by drinking alcohol. GGT is sometimes used to screen for chronic alcohol abuse.
TIBC - Total iron binding capacity is a blood test that shows if there is too much or too little iron in the blood.

You have a fatty liver disease as diagnosed by the ultrasound. The cause is unknown. People that abuse or overuse alcohol develop fatty livers. Other factors for developing alcoholic fatty liver disease include Hepatitis C, iron overload, obesity and diet. So if you drink are obese and have hepatitis C, you have a triple whammy.

Bottom line - Go see a gastrenterologist who experienced in treating liver disease and get a diagnosis or your health issue(s) and then he/she can advise you what to do before you illness(es) become worse.

Hector