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  1. #1
    Senior Member Paul's Avatar
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    My AST was 695 and my ALT was 560 - when my liver enzyme reading... what could

    cause this? Basically, I went to the hospital and my liver readings from my blood came back really high on all, all plus 400 except total protein which was 82, my AST was 695, my ALT, was 560, can anyone tell me why? or what they actually mean?

  2. #2
    Junior Member abijann's Avatar
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    The ALT and AST are two of the liver enzymes.
    When the liver cells become damaged, these enzymes leak
    out of the cells and go higher on the blood testing results.

    Without a complete listing of all the blood testing that doctor
    has done, it is really hard to pin point this.
    However, the ALT is the enzymes most specific to the liver
    itself, since it is the only enzymes that is made mostly by
    the liver cells.

    The liver cells can become damaged in different ways:
    alcohol consumption, medication toxification,
    chemical exposure, mushroom poisoning,
    auto immune disease, viral (like hepatitis A,B,C) or
    parasite infections, hereditary or metabolic disorders,
    cysts/growth/tumor/cancer, biliary obstruction/malformation/
    infections, cardiac/vascular problems, fatty liver disease and
    so much more.

    But the liver enzymes can also be elevated because
    of heart, kidney, pancreas, bone, gallbladder and other
    areas of damage.

    The doctor doesn't just check the liver enzymes
    (ALT, AST, GGT, and ALP levels)...he also checks
    the liver blood functions tests (Bilirubin, INR, PT, PTT,
    and Albumin levels) and may even check the
    liver blood viral levels ( for hepatitis A,B,C) and
    the liver cancer blood test (the alpha feta protein test)
    and the auto immune liver tests( ANA, etc).

    This is the only way to be sure this is definitely a liver
    problem and not something in another area before
    proceeding with film testing like an ultrasound or
    Ct scan to look at the area.

    If this is liver cell damage, the immune system of the body
    would respond to this and cause inflammation inside the liver,
    which could cause the liver to enlarge in size (which can
    be seen with film testing). If this is caught early on and
    the cause is able to be stopped...there is a good chance
    the liver can heal. However, mononucleosis (if the
    glands are swollen in the neck) can be cured by just
    following the doctors instructions.

    To look up any of your lab tests done, here is a link
    that can explain each one.
    http://www.labtestsonline.org

    Best wishes


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