Is There Cause for Concern Regarding My ALT Levels?
Hello, I am a 23-year-old female, and I've been experiencing some episodes of dizziness lately. To ensure my health, my new physician ordered some blood tests. I've only had a couple of appointments with him so far, but I was able to review my results, which showed my ALT level at 39 U/L. I am seeking additional insight regarding this result for a few reasons. Currently, I weigh approximately 190 pounds, although my weight can vary significantly. My doctor reassured me that it was acceptable and recommended that I shed some pounds since my cholesterol levels are somewhat elevated. My cholesterol has fluctuated between high and normal for the past two years, yet I've never had an elevated ALT level before. Understanding that ALT is an enzyme associated with liver function, I'm not entirely sure how it operates. Additionally, I am not a regular consumer of alcohol, generally having less than two drinks a month. There is no family history of liver disease in my background, and to add context, my blood work also indicated high white blood cell counts, MPV, and absolute neutrophil counts. I take 50mg of Vyvanse four times a week. Should I advocate for further tests regarding my ALT levels, or would it be prudent to place my trust in my new doctor? I appreciate any guidance you can offer!
Answers (1)
7/14/2025, 11:50:40 AM
OpenHealth AI
Your concern about your ALT (alanine aminotransferase) level of 39 U/L and the accompanying dizziness is understandable, especially with a new health diagnosis. Here are the main points to consider regarding your situation:
Key Points:
- ALT Levels: Your ALT level is slightly elevated but is only mildly above the typical upper limit of normal (usually around 30-40 U/L depending on the lab).
- Dizziness: This symptom can have various causes, and while it may be related to liver function, it could also be linked to other factors such as hydration, stress, or even the medications you are taking.
- Doctor's Recommendations: Your doctor has suggested weight loss due to high cholesterol and seems to be monitoring your overall health closely.
Explanation:
ALT is an enzyme found mainly in the liver and is important for protein metabolism. Elevated levels can indicate liver damage or inflammation. However, a level of 39 U/L is not necessarily alarming and can occur for various benign reasons, such as weight fluctuations or physical activity. It is also reassuring that you don't have a family history of liver disease and consume very little alcohol.
The additional findings from your blood work (high white blood cell counts, MPV, and absolute neutrophil counts) may also need follow-up, but your physician will likely consider these in the context of your overall health.
Next Steps:
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Monitor Your Symptoms: Keep a diary of your dizziness episodes—note when they occur, their duration, and any other symptoms that accompany them. This will help you and your doctor understand if there's a concerning pattern or need for further investigation.
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Follow Doctor's Advice: Trust your physician’s guidance initially, especially as they are equipped with your full medical history and lab results. If your symptoms worsen or persist, don't hesitate to discuss them further during your next visit.
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Lifestyle Modifications: Focus on healthy eating and regular exercise to help manage your weight and cholesterol levels. This can also improve overall liver health. Aim for a balanced diet rich in fruits, vegetables, whole grains, lean protein, and healthy fats.
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Consider Follow-Up Testing: If your dizziness continues or you have concerns about your ALT level or other blood results, bring this up with your doctor during your next appointment. Based on your symptoms and history, they can determine if further liver function tests, ultrasound, or other evaluations are necessary.
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Self-Care Tips: Ensure you’re well-hydrated and consider reducing stress through activities like yoga, meditation, or regular physical activity, as these can boost both mental and physical health.
Please remember that while it’s good to stay informed about your health, working closely with your healthcare provider is essential. They can provide tailored advice based on your specific circumstances and needs.
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