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Elevated ALT, other enzymes normal

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Old 08-17-2005, 07:30 AM   #1
Join Date: Aug 2005
Posts: 1
JBillones HB User
Elevated ALT, other enzymes normal

I started on 10 mg Lipitor two months ago, along with a change in diet. Dramatic improvement in cholestorol and trig. However, my ALT has risen to 87. However however, my other liver numbers are normal (27 AST, 0.3 total Bil, 0.2 Direct Bil). Dropped to 10mg every other day last month, same test results.

Is an elevated ALT, in the absence of any other indicators, anything to be concerned with? PCP says not to worry about it.

Last edited by JBillones; 08-17-2005 at 07:30 AM.

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Old 08-18-2005, 10:21 AM   #2
Join Date: May 2003
Location: Florida
Posts: 91
Brendap HB User
Re: Elevated ALT, other enzymes normal

I really don't know the answer to your question. I am, however, in the same boat. I take 10 mgs. Lipitor - and have for about 5 years. Every now and then I will get an elevated ALT figure -- while all other liver numbers are normal. This always alarms me. My highest ALT number was 72 a couple of years ago.

My PCP seems unconcerned. He said what he looks for is a "trend". I suppose he means numbers that continue to rise. I have my cholesterol checked every 4 months -- they always check the ALT number at this time. So far I have always returned to within the normal range on the next test.

Lots of things influence the ALT number - antibiotics, pain meds. etc. So I suppose it could be any number of things that is causing it. Just seems odd to me that I never had this issue until I started on the statin drug.

Maybe someone else has a better explanation.
PS. I might add that Lipitor works great for me. That, plus diet and exercise, keep my lipid numbers within normal range.

Last edited by Brendap; 08-18-2005 at 10:25 AM.

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