OpenHealth Q&A

Get answered by medical professionals

Understanding Elevated ALT Levels

6/21/2025, 2:20:23 AMMale25-34

A 25-year-old woman has recently undergone a blood test, and the results came back satisfactory for most parameters, which include bilirubin, alkaline phosphate, AST, and protein levels. However, she found that her ALT level was elevated, landing at 37, while the typical range is noted to be between 10 and 35. She noted that some individuals online reported significantly higher results, sometimes even in the hundreds, which has directed her concern toward her own slightly elevated reading. Seeking clarity and guidance on what this means is her priority.

WellnessFamily MedicineInternal Medicine

Answers (1)

Cony

6/21/2025, 2:20:37 AM

OpenHealth AI

Main Point: An ALT level of 37, while slightly elevated, is typically not a cause for immediate concern, especially when other liver function indicators are normal. Understanding possible reasons for this elevation can help guide next steps.

Explanation: ALT, or alanine aminotransferase, is an enzyme found mainly in the liver. It helps in breaking down proteins and is a marker used to assess liver health. Normal ALT levels usually range between 10 and 35 U/L, depending on the lab. An elevated ALT level can indicate liver inflammation or damage, but slight elevations like yours (ALT 37) can have many benign causes, such as physical activity, diet, or even minor infections.

It’s also important to recognize that slightly elevated ALT levels like yours are not uncommon and often do not indicate serious health issues. Significant elevations (in the hundreds) can suggest more serious liver conditions, which is the context that might be leading to your worry when reading others' experiences online.

Next Steps:

  1. Monitor Symptoms: Pay attention to any new symptoms like jaundice (yellowing of the skin or eyes), fatigue, or abdominal discomfort. If you notice any of these, it may warrant further attention.

  2. Review Lifestyle Factors: Consider if there have been any recent changes in your diet, exercise routine, or alcohol consumption. Reducing alcohol intake and maintaining a balanced diet can help support liver health.

  3. Stay Hydrated: Drink plenty of water and maintain a diet rich in fruits, vegetables, and whole grains, which can help improve overall health.

  4. Consider Follow-Up Testing: If you remain concerned, you might plan to have your ALT levels retested in a few months to see if they normalize.

  5. Avoid Online Comparisons: Lastly, remember that individual health is complex—what might be concerning for one person may not apply to another. Focus on your health context rather than others’ experiences.

Let me know if you have any further questions or need clarification on any of these points!

Related Questions

Worries About Laboratory Results

Hello all. I'm a 32-year-old male weighing approximately 210 pounds and standing at 5 feet 11 inches with a muscular physique. Lately, I've been experiencing severe constipation. On the same day I performed a colon cleanse, I also underwent some blood tests. The results were mostly normal, but my AST level was reported at 38, and my Ferritin level was at 391. In addition to the constipation issues, I’ve been dealing with migraines, nausea, and a lightheaded sensation. Does anyone have insights on what might be causing this or what I should do next?

AgingFamily MedicinePreventive Medicine
Male25-34
1 hour ago

Inquiry About Childhood Chiropractic Experience

Hello Reddit! I’m reaching out to share something that occurred during my early teenage years, specifically when I was approximately 12 to 14 years old. I’m currently 25. (Female) To give you a brief overview, there was an incident when I was leaning down at my locker, and all of a sudden, my neck locked to one side. I was completely unable to move it back into its normal position, which caused me significant discomfort. My father decided it would be best to take me to a chiropractor, and while that did help somewhat, the pain was still quite severe. Additionally, I noticed a peculiar smell lingering for about a week post-visit. This episode repeated itself a few months later, with the same painful experience and that odd smell following the chiropractic adjustment. Since those occurrences, I've only encountered similar issues twice. On those occasions, instead of seeing a chiropractor, I opted for hospital treatment, where I received muscle relaxants that didn’t leave me with the strange odor or intense pain. However, I’ve been dealing with ongoing soreness in my right shoulder, and it seems to easily get strained. My head also tends to lean to one side quite noticeably. I’m curious to know what might have caused the neck stiffening, the severe pain, and that unusual smell following my chiropractic visits as a child. Could choosing chiropractic care over medical attention have led to any long-term repercussions?

AgingFamily MedicineInternal Medicine
Male25-34
1 hour ago

Are Comprehensive Physical Examinations on the Decline?

Recently, I visited my primary care physician for my annual check-up. Upon arrival, the doctor briefly inquired about my health and conducted a quick assessment by listening to my heart and breathing. To my surprise, he concluded with a simple, "Everything looks good, see you next year!" What happened to the thorough physical examinations that once included a complete assessment, like the traditional checks of reflexes and other vital signs? This experience left me questioning the purpose of my primary care doctor. At 37 years of age, standing at 6 feet tall and residing in the United States, I find myself wondering if such brief consultations are becoming the norm. Why do we even maintain relationships with primary care physicians if such abbreviated visits are standard?

WellnessFamily MedicinePreventive Medicine
Male25-34
1 hour ago

Should I Get a Second Opinion About This Lump?

**Breast Ultrasound Report:** **Findings for the Right Breast:** The breast consists of typical fibro-fatty glandular tissue. A distinct hypoechoic mass has been identified at the 7 o’clock position, measuring 1.6 cm by 0.5 cm. This lesion does not show any signs of disrupting nearby structures or causing ductal dilation. Additionally, a color Doppler assessment reveals no notable blood flow within this area. There are no indications of calcifications or distortions within the architecture of the breast. The skin appears normal without signs of thickening or nipple inversion, and there is no duct dilation present. Several lymph nodes within the axillary region appear normal, with the largest measuring 1.7 cm by 0.6 cm. **Findings for the Left Breast:** The glandular tissue in the left breast is also normal. There are no abnormal masses, calcifications, or architectural irregularities detected. Similar to the right breast, there is no skin thickening or inversion of the nipple, nor any duct dilation. A few axillary lymph nodes are evident, with one measuring 1.6 cm by 0.5 cm, all appearing benign. **Conclusion:** The findings in the right breast point towards benign characteristics, likely indicating a fibroadenoma (BIRADS-II classification). The left breast shows a normal scan, while benign-appearing lymph nodes are noted bilaterally in the axillary regions. It is recommended to correlate clinically and consider follow-up sonography for more comprehensive evaluation.

AgingFamily MedicinePreventive Medicine
Male25-34
2 hours ago

An Extended Nosebleed Incident

I experienced a nosebleed that lasted approximately half an hour and was considering a trip to the emergency room. Fortunately, it ceased just prior to my decision, and I have not encountered any further bleeding in the last twenty minutes. I am a 36-year-old female with a medical history that includes asthma, Neurofibromatosis type 1 (NF1), and Hashimoto's disease. Currently, I am on a regimen that includes an estradiol patch, progesterone, Armour thyroid, and ProAir. Given that the bleeding has stopped completely, I wonder what actions medical professionals might have taken if I had sought their help. Additionally, I’m unsure how to upload any images related to this incident.

WellnessFamily MedicineInternal Medicine
Male25-34
2 hours ago