High ALT levels in fatty liver and Elevated ALT levels

An elevated ALT levels in your blood test results could be a sign of a related disorders and diseases, such as Fatty Liver disease, Hepatitis B, Hepatitis C, Cirrhosis, and others.

ALT is a commonly required blood test requested by many physicians from their patients. It’s used to confirm or rule out liver disorders, simply because the enzyme is mostly concentrated in the liver, which is why a higher levels of the enzyme may suggest a problem in the liver.

What are the normal ALT enzyme levels?

Elevated ALT LevelsThe normal level of ALT in the bloodstream is 5 to 45 U/L (units per liter). This range can slightly vary depending where you take the blood test.

When a blood test shows elevated ALT levels outside the normal range, even a small amount, fatty liver and other liver disorders might be the cause.

If the cause of the ALT enzyme level increase is due to a severe liver disease (like Cirrhosis), the levels would be higher than what’s found in fatty livers patients.

Please note that some labs name ALT as “Alanine Transaminase”, “Alanine Aminotransferase” or “SGPT”.

What should I do if I have an Elevated ALT levels?

After you got your results, the first thing you need to do it to consult your physician, the one who requested from you to take the test. He can check the results and choose the next course of action.

In most cases, a follow-up blood test is required to confirm that the first results are not a one-time mishap.

If it is confirmed in the second blood test, you are most likely be required to do an abdominal ultrasound scan. The ultrasound is a necessary tool to look at the liver tissue and to confirm the existence of fatty liver and its severity.

How can I lower my ALT levels?

The most important thing to remember is that most liver diseases such as fatty liver, are very treatable. Fatty liver is also the most common cause of an elevated ALT level.

The main course of treatment is through a determined and decisive actions to heal your liver. It will include weight loss if you’re overweight, change in your food habits, exercise, and more.

Stop eating fat-concentrated foods, and start eating healthy. Use foods for fatty liver recommendations to learn more about what you should and shouldn’t eat. For full details please read thoroughly about fatty liver treatment.

Persistence and a real change in your life-style are the keys to lower your ALT levels.

High alt levels fatty liver

You might need some guidance

This a thought and a big change that isn’t so easy to carry out. It will need your full attention. Your health should be the #1 priority. If you need any guidance, I high recommend the fatty liver diet guide written by Dorothy Spencer BSN, RN, that has been a proven liver diet program that works. It helped a lot of my own patients. Click here to learn more about it.

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  1. Michelle
    Michelle says:

    I just found out that my 14 year old son has an ALT -173 and an AST- 208. What could it maybe be ? The doctor set up and ultrasound of his liver for next week. Please help me ease my mind

  2. lisa
    lisa says:

    My alt is 160 and my ast is 95 ??? How concerning is this I have some abdominal pain nausea,loose stool, vomiting in the mornings I tested negative for Oregon so that’s out, I go tomorrow for more I’m put but I’m nervous because before this the ER told me my levels were never elevated and I am not sick at all and definitely not a drinker or smoker??

    • Dr. Mark Bar-Gomel
      Dr. Mark Bar-Gomel says:

      Hi Lisa,

      Could you share your weight and height please?
      And have you done a liver ultrasound already?
      Please let me know so I could assist.

      Dr. Mark Bar-Gomel

      • D Brown
        D Brown says:

        my AST is 169 and ALT is 175
        Alp is 174
        Should I be worried and what could possible causes be?

  3. Heather
    Heather says:

    Hi… My ALT is 273. I’ve tested negative for all the hepatitis. I’ve had an ultrasound and was told it was negative. More blood work is being ordered. I’m 42, healthy, and slender. I’ve always eaten a very healthy diet so I’m perplexed. Any thoughts as to what’s going on??? I asked my doc and he’s not quite sure. My AST is lower than normal as is my protein.

    Thanks 🙂

  4. Shannon
    Shannon says:

    My alt was 365. Take milk thistle daily with 800 Iu of vitamin e. Change diet and work out daily. Alt is now 68

  5. Holly
    Holly says:

    I got my results back today and my alt level is 148. AST is 73. I am also scared, a mother of 3 and 31 years old. Doctor said nothing to me so I don’t know what to do besides google my labs and figure out my next step. Good luck to each of you and please if you have any advice send it my way..

    • Lea J.
      Lea J. says:

      Hi Holly, just read your comment and I feel for you. I’m having bloodwork done on Friday and it’s something that I’ve been putting off for a few months now out of fear. I’m also a mother, of two, and am 37 years old. In early December I got really sick, and just didn’t get better. After one week had passed I started panicking because I knew that no sickness would cause me to feel SO bad for SO long. Then the second week passed and it felt every day like I had a terrible hangover. I don’t drink alcohol. Since then I’ve gotten better but I am in no way feeling good or normal.

      I started taking a trio of supplements/vitamins/minerals at a specific dosage that I’d read about in an article in a medical journal: The daily doses are 600 mg of alpha lipoic acid, 900 mg of silymarin (milk thistle extract), and 400 mcg of selenium, taken in divided doses.

      I began taking these daily, along with all the other vitamins and minerals I take, about one month ago. And I really do feel better now-especially this past week. My energy levels have increased, I haven’t felt that morning sickness type of nausea that I’d been having daily, for slightly over a week now. I’m pretty confident that it’s the milk thistle, Selenium and Alpha lipoic acid that have allowed me to feel closer to normal.

      Anyhow, it’s still extremely scary to get the blood work done and learn the results/answers that we may or may not want to hear.

      My last blood draw was almost a year ago and the ALT level was 63 UL. At that time my doctor told me that all values were fine. Only today, when we reviewed them, did we notice that the ALT was beyond the normal range.

      I strongly advise you to question your doctor, ask her for explanations in terms that you can understand. That is her job-you, or your insurance, pays her for this!

      I also wish you’ll understand and FEEL that you’re NOT alone in this.

      I’m sending good thoughts of health, hope, faith and happiness to you Holly.

      Please post again as time goes by and you learn more about your situation.

      🌞 Bye for now,

    • Lea J.
      Lea J. says:

      Jane, I realize that your post is a few months old, but hope that you’re still reading this site and will post an update. How are you doing now?
      Best wishes,

  6. Nancy
    Nancy says:

    My husband, age 58 was just diagnosed with fatty liver intrusions. He doesn’t drink, smoke or eat bad. What’s the best way to help this. He does have high blood pressure.

  7. Subi D
    Subi D says:

    Hey guys..take 800 IU of Vitamin E everyday. I had elevated enzyme ALT of above 50 for last 3 years. A liver specialist in India gave me that Vitamin E dose and my. Level is reduced to 35 in two months of taking Vitamin E

  8. Harpreet Sidhu
    Harpreet Sidhu says:

    i am 30 year old man. Working hard eating healthy food. Recently had blood test got ATL level high 50 units. So worried about please advice me what should I do. Thanks.

    • Steven
      Steven says:

      I think thats normal still. The Reference Range according to my test results is from 30-65 U/L. Your still in the normal range. Mine is at 129 U/L. I should worry.

      • Lea J.
        Lea J. says:

        Hi Steven, I share your worries and understand what it’s like. When you have the time and are feeling ready to, will you post an update? Also, I read that his trio: {{The daily doses are 600 mg of alpha lipoic acid, 900 mg of silymarin (milk thistle extract), and 400 mcg of selenium, taken in divided doses}} has been clinically shown to be more effective than pharmacological approaches to liver disease. I’ve started taking these and they seem to be helping.


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