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Old 05-26-2005, 08:36 AM   #1
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Question Should I be Concerned AST = ALT?

My AST is 24 and my ALT is 24. I read in an Oxford Journal that 'most patients with high alcohol consumption but without severe liver disease do not have an AST/ALT ratio above 1.' AST=24 and ALT=24 were my last lab results. In September, 2004, AST=17 and ALT=24.

I have no out-of-range lab results (other than mild LDL cholesterol elevation [112] and low HDL [36]), and that's been the case for several years now.

Does anything think I should be concerned about my AST being equal to my ALT? Does anyone have a "healthy" liver and their AST is equal to their ALT?

Last edited by mg_health; 05-26-2005 at 08:57 AM. Reason: Added more info.

 
Old 05-26-2005, 11:05 AM   #2
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Re: Should I be Concerned AST = ALT?

Quote:
Originally Posted by mg_health
My AST is 24 and my ALT is 24. I read in an Oxford Journal that 'most patients with high alcohol consumption but without severe liver disease do not have an AST/ALT ratio above 1.' AST=24 and ALT=24 were my last lab results. In September, 2004, AST=17 and ALT=24.

I have no out-of-range lab results (other than mild LDL cholesterol elevation [112] and low HDL [36]), and that's been the case for several years now.

Does anything think I should be concerned about my AST being equal to my ALT? Does anyone have a "healthy" liver and their AST is equal to their ALT?
You have nothing to worry about there

 
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Old 05-26-2005, 01:52 PM   #3
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Re: Should I be Concerned AST = ALT?

Your lab results are really good, and you don't consume a lot of alcohol.

What are you worried about?

 
Old 05-26-2005, 02:04 PM   #4
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Lightbulb Re: Should I be Concerned AST = ALT?

Quote:
Originally Posted by wimzie
Your lab results are really good, and you don't consume a lot of alcohol.

What are you worried about?
Well, my dad had a liver transplant a couple of years ago due to alcoholic cirrhosis. I've been drinking steadily for the past 10+ years. I've gone through phases where I would drink more heavily than others. However, I usually didn't drink more than 4-5 beers in a day. On some days, I would drink up to 8 beers. That was my high-end drinking scale. I typically, though, did NOT get drunk. I never like getting to that level. I only like getting getting a relaxing buzz and nothing else. I'm 33 now. Typically, I limit myself to weekends (12-14 beers total). I just don't want to end up like my dad. I think I will quit the "regular" weekend use as well and *only* drink on occasions (parties, celebrations, get-togethers, holidays, etc.). That way, I'll have less to worry about. I'm already health-anxious as it is - I don't need 'excessive' alcohol intake to further exacerbate my worries/anxieties

Last edited by mg_health; 05-26-2005 at 02:06 PM. Reason: Typos

 
Old 05-27-2005, 07:07 PM   #5
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Re: Should I be Concerned AST = ALT?

I'm dealing with slightly elevated enzymes for about 6 months now. If I wasn't having an upper right discomfort nothing would be thought of as being a problem. However, my doc says that I might have a slighlty fatty liver because of my age (32) and nothing showing up on my tests ( had plenty). We drink about the same. I have learned that slightly elevated enzymes (which you don't have) really don't tell anything. Highly elevated will tell things like Hep. I probably will have to have a liver biopsy to get a clear dx. If I had your enzymes, I would probably drink to celebrate slight humor. Also, if your alt ast ratio or vice versa ( can never remember ) is > 1 it's usually due to alcohol which is why I had to quit for 2 months and get retested. I get results next week ... cross fingers!

 
Old 05-27-2005, 07:26 PM   #6
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Re: Should I be Concerned AST = ALT?

the range for alts and asts seems reasonable.... billirubin however, has a normal range of 1. or below... anything above is getting high!!

 
Old 05-29-2005, 06:57 AM   #7
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Re: Should I be Concerned AST = ALT?

I had read several websites, because I am interesting about opinion that AST:ALT ratio should be less than 1, I found that we should concern about AST:ALT ratio, only when the scores are above normal range.

I think it is allright although AST:ALT ratio is greater than 1 as long as both values are in the normal range.

 
Old 05-29-2005, 08:56 PM   #8
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Re: Should I be Concerned AST = ALT?

Quote:
Originally Posted by ryu1977
I had read several websites, because I am interesting about opinion that AST:ALT ratio should be less than 1, I found that we should concern about AST:ALT ratio, only when the scores are above normal range.

I think it is allright although AST:ALT ratio is greater than 1 as long as both values are in the normal range.
I think you are right there......................

 
Old 05-30-2005, 11:58 AM   #9
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Re: Should I be Concerned AST = ALT?

The normal range for ALT is: 22-65
The normal range for Ast is 10-34
The normal Range for Direct Bilirubin is 0.0-0.3
The normal range for Total Bilirubin is 0.0- 1.0
The normal range for Albumin is 3.2-4.6
The normal Range for Protein is 6.4-8.2
The normal Range for Alkaline Phospatase is 42.-144.


These numbers come from the laboratory of a major Liver Transplant Center.

Hope it helps.

 
Old 05-30-2005, 12:00 PM   #10
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Re: Should I be Concerned AST = ALT?

by the way, in all the work i have done with liver patients. i have never seen an alt or ast score below 22!!!!!

 
Old 05-30-2005, 10:35 PM   #11
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Re: Should I be Concerned AST = ALT?

I consistently have low SGPT (between 8 to 15) in my yearly general check up for 3 years. My SGOT always in 23. The doctor never concerned about my low SGPT, he always said: you are healthy

 
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