Hello All, I'm 24 years post-op and I'm getting some out of range lab results and wanted to hear about other people's experience in these areas. Specifically....high ALT value. My liver panels have been all over the place for many years. I had an ultrasound last year which said "probable fatty liver" but it also said it was hard to be accurate because of so much gas in the way. My doctor told me to lose weight and that would clear it up. I lost 25 lbs (yes can you believe it) but my ALT is still high and this was drawn this morning. I was hoping to hear about other long timers' experiences with this. Years ago my old internist wanted me to get a liver biopsy but I saw a hepatologist who ordered an MRI-spectroscopy which did NOT show fatty liver. Maybe I should insist on that again...? Thanks.