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First of all your numbers are not really that high.
ALT is considered the most specific enzyme for liver health and 48 is within some reference ranges I have seen. It's just not that significantly elevated. Your AST isn't either. Your GGT is somewhat elevated but not alarmingly so.
You mention that you are overweight. Fatty Liver Disease is associated with obesity and I would think that disease should be ruled out - often GGT is elevated with Fatty Liver. The fact is you could benefit from weight loss in general and weight loss is often recommended in patients with Fatty Liver Disease who are overweight. A lot of people have Fatty Liver Disease and most of them will not progress to further liver damage. Nevertheless, it's something you should know about.
This is from the Mayo Clinic:
"Nonalcoholic fatty liver disease is a term used to describe the accumulation of fat in the liver of people who drink little or no alcohol.
Nonalcoholic fatty liver disease is common and, for most people, causes no signs and symptoms and no complications. But in some people with nonalcoholic fatty liver disease, the fat that accumulates can cause inflammation and scarring in the liver. This more serious form of nonalcoholic fatty liver disease is sometimes called nonalcoholic steatohepatitis. At its most severe, nonalcoholic fatty liver disease can progress to liver failure...."
I am not in the medical field - I am just a person who has had liver disease and I picked up some information along the way. I am just raising the possibility that you could have Fatty Liver Disease and I could, of course, be all wrong.
I would follow up with a Hepatologist or a Gastroenterologist if I were you. I do think having you tested for viral hepatitis is the right approach because you have to consider that possibility even if it seems remote.
First of all your numbers are not really that high.
ALT is considered the most specific enzyme for liver health and 48 is within some reference ranges I have seen. It's just not that significantly elevated. Your AST isn't either. Your GGT is somewhat elevated but not alarmingly so.
You mention that you are overweight. Fatty Liver Disease is associated with obesity and I would think that disease should be ruled out - often GGT is elevated with Fatty Liver. The fact is you could benefit from weight loss in general and weight loss is often recommended in patients with Fatty Liver Disease who are overweight. A lot of people have Fatty Liver Disease and most of them will not progress to further liver damage. Nevertheless, it's something you should know about.
This is from the Mayo Clinic:
"Nonalcoholic fatty liver disease is a term used to describe the accumulation of fat in the liver of people who drink little or no alcohol.
Nonalcoholic fatty liver disease is common and, for most people, causes no signs and symptoms and no complications. But in some people with nonalcoholic fatty liver disease, the fat that accumulates can cause inflammation and scarring in the liver. This more serious form of nonalcoholic fatty liver disease is sometimes called nonalcoholic steatohepatitis. At its most severe, nonalcoholic fatty liver disease can progress to liver failure...."
I am not in the medical field - I am just a person who has had liver disease and I picked up some information along the way. I am just raising the possibility that you could have Fatty Liver Disease and I could, of course, be all wrong.
I would follow up with a Hepatologist or a Gastroenterologist if I were you. I do think having you tested for viral hepatitis is the right approach because you have to consider that possibility even if it seems remote.
I wish you good luck.
Mike
again thank you very much