About 4 years ago, I was being examined for an insurance application. The blood test revealed that I had high liver enzymes. Subsequent to the blood test, I followed up with a liver specialist, who confirmed the results and ruled out Hepatitis and other liver related diseases that can be test for using blood tests. He decided to do a liver biopsy. All results were negative. He wrote me a letter stating: "The patient had no other abnormalities of liver biochemistry and he was extensively investigated with investigations showing the following findings: bilirubin 0.7, ALT 47, AST 33, alkaline phosphatase 84, albumin 4.1, white cell count 5800, platelets 236,000, hemoglobin 16.3, hematocrit 47.6, INR 1, electrolytes normal, BUN and creatanine normal, ferritin 320, alpha 1-antritrypsin levels normal, ceruloplasmin 32, and immunoglobulins G, A, and M 824, 218, and 145 mg, respectively.
Screening tests for hepatitis B serology were all negative. Hepatitis C tests in the past have all been negative. The patient has, in the past, had a bilirubin of 1.7 with a direct of 0.7 and an indirect of 1.0, suggesting mild Gilbert's syndrome. He did have a repeated gamma glutamyl transpeptidase which was 184. Based on this, he underwent a liver biopsy and this biopsy was entirely normal.
Based on the above, the patient has asymptomatic, isolated elevation of his gamma-glutamyl transpeptidase with no evidence whatsoever of any chronic or serious liver disease."
That was all 4 years ago. Well, this year I wanted to increase my insurance and underwent another examination. The blood tests revealed the following results: my SGOT (AST) is 60 U/L, my SGPT (ALT) is 72 U/L, and my Glutamyltransferase is 171 U/L. It also revealed an abnormal carbohydrate deficient transferrin (CDT) result.
The insurance company claims that these test results are indicative of regular alcohol intake at a level that may be significant to health or longevity.
To be honest, this test was completed during the holiday season in which I went to a number of Christmas parties that involved the consumption of alhohol.
During a normal week, I may consume 3-4 alcoholic beverages. Some weeks, it's none. Others it may be significantly more. I would consider myself average or below average in the area of alcohol consumption. However, there are time (at conventions, etc.) when it is elevated.
In your evaluation of this information, do you think it would be wise to get checked out again. What do you think might be the cause of these results?