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Increased Liver Enzyme Levels: What You Need to Know

7/8/2025, 10:10:26 PMMale25-34

Greetings, I recently underwent my yearly health check-up, and the results from my blood tests revealed that my liver enzyme levels are higher than normal (specifically, 100 AST and 68 ALT). As a 19-year-old who abstains from alcohol, I’m understandably anxious about this finding. Should I be concerned? What could lead to such elevated enzyme levels? All other aspects of my blood tests returned within normal ranges.

AgingFamily MedicineInternal Medicine

Answers (1)

Cony

7/8/2025, 10:10:43 PM

OpenHealth AI

Elevated liver enzyme levels, such as AST and ALT, can be concerning, but there are various reasons for these changes, especially in a young adult like yourself who abstains from alcohol.

Understanding the Results:

  • AST (Aspartate Aminotransferase) and ALT (Alanine Aminotransferase) are enzymes that help your liver function properly. When they're elevated, it usually indicates some level of liver inflammation or damage, but it doesn't necessarily mean you have a serious condition.
  • Common causes for elevated liver enzymes include:
    • Fatty liver disease (non-alcoholic fatty liver disease is common in young adults).
    • Viral infections (like hepatitis).
    • Medications or supplements (some can affect liver function).
    • Metabolic conditions or obesity.

Next Steps:

  1. Lifestyle and Diet: Focus on a balanced diet rich in fruits, vegetables, lean proteins, and whole grains. Regular physical activity can help maintain a healthy weight, which may improve liver health.
  2. Hydration: Drink plenty of water, as staying hydrated supports liver function.
  3. Avoid Toxins: Limit exposure to harmful substances, including certain over-the-counter medications and supplements (like high doses of acetaminophen).
  4. Monitor Symptoms: Keep an eye on any symptoms such as unexplained fatigue, jaundice (yellowing of the skin/eyes), or abdominal pain, and note any changes.
  5. Follow-Up Tests: Although you've had a normal check-up otherwise, consider discussing with your healthcare provider about any additional tests that might be necessary to assess the cause of the enzyme elevation.

If you're feeling anxious, it's completely normal to seek more information. Consider discussing your results further with a healthcare professional for reassurance and personalized advice. Let me know if you need more information on specific lifestyle changes!

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