HomeAnswersMedical Gastroenterologyhigh alanine transaminase in bloodHow to lower the levels of SGPT and ALT?

My routine blood work shows raised SGPT and ALT levels. Is this alarming?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Answered by

Dr. Ajeet Kumar

Medically reviewed by

Dr. Vinodhini J.

Published At August 10, 2020
Reviewed AtJanuary 29, 2024

Patient's Query

Hello doctor,

I am 19 years old and just got my recent routine blood test results. One specific factor which is my SGPT/ALT levels are high, specifically 110.60 U/L. My question is, should I be already alarmed? What are some factors I need to consider, and how can I lower it down?

Answered by Dr. Ajeet Kumar

Hello,

Welcome to icliniq.com.

Well, it is of paramount importance to know what has led to this elevation of liver enzymes. This is of course abnormal report i.e. three times greater than the normal ALT (alanine transaminase) value.

You do not seem to be overweight so the other possibilities are active viral infections such as hepatitis B and C, active alcohol intake, certain autoimmune conditions like autoimmune hepatitis, and some others. It would be reasonable to start testing those before any alarming elevation of these enzymes occur or lead to significant damage to the liver. If you use alcohol, I suggest you to stop it.

You can get the following blood tests and let me know the results once available. Also, provide me relevant history like any family members with liver disease, alcohol intake, diarrhea, fever, or jaundice in the recent past? Use of Paracetamol or any other over the counter medications? Any herbal medicine in use, pets at home? Let me know the answers to the above as well.

The Probable causes

Resolving viral hepatitis. Chronic active viral hepatitis. Lean Nash. Alcohol related liver disease. Liver infections.

Investigations to be done

HbSAg. Anti HCV antibody. HAV IgM. HEV IgM. Share the complete liver function test results.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Ajeet Kumar
Dr. Ajeet Kumar

Medical Gastroenterology

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