One month ago one of my patients was diagnosed with hepatomegaly (enlarged liver) with fat. At that time, his liver function blood test showed ALT values of 133, and AST 57.
My recommendation to him was to start a fatty liver diet program, and mild physical activity, like walking for 1 hour for 3 times a week.
One month was passed, and now his blood test shows a decreased ALT level – 79, and a decreased AST level – 37. This is extremely good results for such short period of time.
This means that the treatment actually works. ALT and AST values are effected pretty fast when the body receives different, healthy type of food. In a matter of 2-3 month, a new blood test would hopefully reveal these enzymes at their normal levels.
It is extremely important to monitor your progress through taking a new blood test about about 3 weeks. It gives a lot of motivation and keeps you in track.
Keeping normal ALT and AST ratios
Getting decreased ALT and AST levels to normal levels is one thing – but keeping at these levels are completely different task. There is a need to continue eating food with low fat, doing exercise, and generally watch your health and maintaining a healthy life-style.
Even if the blood test would show perfectly normal results, it can be deceiving, because your liver is still fatty. It doesn’t go away that soon. It takes few years at least. The best way to confirm if you still have a fatty liver is a combination of blood test AND a liver ultrasound.
Keep in mind that you will probably need to keep a healthy life-style all of your life, because your liver is vulnerable for fatty liver.