OK, my situation. Within the past five months I have had three liver enzyme tests that all show mildly elevated ALT levels.
About 2 years ago, I was trying to find out why my right eye kept drooping when I was tired. The answer was that I had mild ocular myasthenia gravis(or ptosis). So they did a battery of tests on me.
I was 60 years old at the time, obeese and not taking good care of myself. In addition to finding mild ocular myasthenia gravis, I was diagnosed with Type 2 diabetes, low testosterone (<241), and low bone density.
My primary care physician told me to get exercise, loose weight, and eat a healthier diet. I was really scared, so I started exercising and loosing weight (a lot), eathing healthy and taking care of myself.
The ptosis went into remission so that isn't an issue at the moment. I didn't have any weakness besides one eyelid. My neuro-specialist wanted to test me to verify my overall muscle fitness, but when he found out that I had recently run a half marathon and done a number of other things like weight lifting, he gave me an abreviated test and said it was really confined to just one eye (at the moment).
I am now just a little overweight after having lost over 40 pounds.
My last A1C blood test was a value of 6.1, which is generally considered either "pre-diabetic" or type 2 diabetes but controlled by exercise and diet.
As to the low bone density that freaked me out because my mom essentially died after osteoperosis cause her hip to crumble. After talking to my wife and doctor I decided that getting on Androgel Testosterone HRT would help me rebuild bones, build muscle and that would be good from multiple medical perspectives. Doctor also told me to take vitamin D and a bone/calcium/mineral supplement.
I have much greater muscle mass and have been running additonal events and train regularly for outdoor activities. My last bone density test showed stronger thicker bones than the previous test. I also think that my overweight and other symtoms were classic metabolic syndrome.
Some of my elevated liver enzyme tests were probably related to too much exercise prior to the test, but for my last test where only ALT was mildly elevated, I made sure I stopped exercising for 11 days prior to my test.
Other possible causes for elevated liver enzymes that I have read about are (1) myasthenia gravis, (2) Androgel Testosterone, (3) diabetes.
Now my questions.
Anyone have myasthenia gravis and also have mildly elevated ALT liver enzyme test result?
If so any doctors advice on thresholds at which to be concerned?
Would MG in remission still cause an elevated ALT enzyme?
Any experience or knowledge in this would be appreciated as i would like to know what is causing my mildly elevated ALT, as I would like to work on reducing it, if possible.
I don't know how much help I am going to be with your concern, but wanted to give you some reply seeing how no one else has.
I also have Myasthenia Gravis, not in remission and I have Generalized Myasthenia Gravis. I am not stabile yet and it pretty much effects all systems but I am still functioning, so thats good.
I recently retired from the military and was denied life insurance from a civilian company because of elevated liver enzymes too.
AST 43/GGT 212/ALT 92 - after some internet research it appears there are other people out there like us. I haven't been able to see my Neurologist yet, but I do next week. As soon as I see her, I will let you know what the cause is. Because I feel naked with out insurance. Plus, when I had my thymectomy in August of this year (2011) the surgeon checked out my liver and said that it looked very healthy. Whats the point of living a healthy lifestyle if you are going to get some weird liver disease, right? Just kidding!
Plus, when I had my thymectomy in August of this year (2011) the surgeon checked out my liver and said that it looked very healthy. Whats the point of living a healthy lifestyle if you are going to get some weird liver disease, right? Just kidding! 
