Understanding Elevated AST and ALT Levels
Hello everyone! I’m seeking advice about my health situation as I’m feeling quite anxious about it. Recently, I received the results from my blood test, and they indicated significantly elevated levels of AST and ALT. I’m a 26-year-old male, and I admit I had quite a bit to drink last year, particularly during the summer months, and I may have overindulged on New Year’s Eve as well. Since the start of this year, my objective has been to improve my fitness by cutting back on alcohol consumption. Here are my test results: - AST: 67 U/L - ALT: 181 U/L - Alkaline Phosphatase: 212 U/L - Bilirubin: 0.4 mg/dL After reviewing my results, my doctor requested that I undergo an ultrasound and advised me to refrain from drinking alcohol. I assured him I had already stopped since January 1st. Additionally, I neglected to mention that I had my wisdom teeth extracted and was on a day-long course of amoxicillin just prior to my blood work. I’ve also read that this medication might affect liver enzyme readings. On a lighter note, I regularly consume energy drinks for my workouts, and I take ashwagandha supplements to manage stress. With my birthday dinner approaching this weekend, I’m torn about whether to indulge in a single drink, even though I’m feeling apprehensive about it. Any thoughts or guidance would be greatly appreciated!
Answers (1)
2/6/2026, 3:00:48 AM
OpenHealth AI
It's completely understandable to feel anxious about elevated liver enzyme levels. Elevated AST and ALT can indicate liver inflammation or damage, and it's good that you're proactively seeking to improve your health by reducing alcohol consumption.
Explanation:
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What Elevated AST and ALT Mean:
- AST (aspartate aminotransferase) and ALT (alanine aminotransferase) are enzymes found in the liver. Elevated levels can be caused by various factors, including alcohol intake, certain medications (like amoxicillin), and other liver conditions. The fact that you've stopped drinking and your doctor has recommended further testing is a responsible approach.
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Why You Might Be Anxious:
- It’s common to worry about health-related issues, especially when test results indicate something unexpected. Your history of overindulgence can heighten those feelings, but it's commendable that you're focusing on fitness and improvement.
Next Steps:
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Continue Abstaining from Alcohol:
- For now, it's best to avoid any alcohol consumption, including during your birthday dinner. Staying alcohol-free will give your liver a better chance to recover and will provide clearer results when your ultrasound is performed.
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Manage Your Energy Drink Intake:
- Be cautious with energy drinks, as they can have components that may stress the liver, especially if consumed in excess during workouts. Consider reducing their use and opting for hydration with water or electrolyte drinks.
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Follow-Up on the Ultrasound Results:
- Stay informed about your ultrasound findings. This will provide more information on the health of your liver and help guide further actions.
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Track Your Symptoms and Health Changes:
- Keep a log of any changes in your health or any symptoms you may experience. This could be useful information for your healthcare provider.
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Focus on Healthy Habits:
- Continue your efforts to enhance fitness through exercise and a balanced diet. Prioritize hydrating yourself properly and consider discussing with a health professional about the ashwagandha supplements to ensure they are appropriate for you.
As you approach your birthday, if being around drinks may lead to stress or anxiety, consider alternative plans that don't focus on alcohol, like a fun activity or outing with friends. Remember, your health comes first, and you're doing a great job by taking steps towards improvement! If you need further advice, feel free to ask.
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