NancyNewYork

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.

Yes, my liver enzymes have been up and down for years but this time it's just up up up and trending up. I will have an elastography scan to check for fibrosis. Better to be safe than sorry.

I'm not agreeing to a liver biopsy until I get that scan. It's just so funny - this exact situation happened to me like 18 years ago. My internist wanted a liver biopsy and I went over his head to a hepatologist at the same hospital who ordered the MRI-spectroscopy. My internist fired me!

Just ALT. AST is high end of normal. I had an ultrasound about 10 months ago because of the ALT. "Probably fatty liver" although it also said it was hard to read because of excess gas....I'm think of asking for an MRI-spectroscopy.

Hi and thanks. My ALT value is 53. 10 months ago it was 48. It's been up and down for many many years.