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Liver Enzyme and alcohol usage question
Posted on 8/19/19 at 12:19 pm
Posted on 8/19/19 at 12:19 pm
Of everything I've looked at, the one question that remains for me is whether or not elevated liver enzymes are to be expected in people who consume alcohol-OR can some people drink regularly without having any abnormal labs?
Had labs last Wednesday. ALT was 100, AST was 241. Consumption was the preceding Friday (2 drinks) and Saturday (8 drinks). Nothing Sunday-Tuesday immediately prior to labs.
Obviously I'm going to be working with my doctor on all this, but thought I'd solicit thoughts from anyone with legit knowledge of this stuff here.
Had labs last Wednesday. ALT was 100, AST was 241. Consumption was the preceding Friday (2 drinks) and Saturday (8 drinks). Nothing Sunday-Tuesday immediately prior to labs.
Obviously I'm going to be working with my doctor on all this, but thought I'd solicit thoughts from anyone with legit knowledge of this stuff here.
3
Posted on 8/19/19 at 1:46 pm to AUjim
Lot of different causes of liver disease besides alcohol.While you are waiting to see Dr. avoid all alcohol.acetaminophen(Tylenol),high fructose corn syrup.If you are taking any supplements stop.When you see Dr. have complete list of medications and any supplements you are taking( if you take any). Hope it turns out well for you.
This post was edited on 8/19/19 at 6:06 pm
Posted on 8/20/19 at 3:43 pm to AUjim
Alcohol can be a major contributor, but with those labs you probably have NA fatty liver disease. The poster aboves recs are spot on. You CAN reverse this, is the good news.
Easily diagnosed with simple ultrasound.
You don't have to do keto, but that's how I was able to reverse my fatty liver. No HFCS, ditch alcohol for awhile (not forever), and go low carb/high fat or high fat/low carb for most meals to see improvement.
Easily diagnosed with simple ultrasound.
You don't have to do keto, but that's how I was able to reverse my fatty liver. No HFCS, ditch alcohol for awhile (not forever), and go low carb/high fat or high fat/low carb for most meals to see improvement.
Posted on 8/20/19 at 4:16 pm to FatMan
Was coming to post the update....Thanks for the info from both of yall-
All of my liver function tests are normal. Ultrasound is consistent with fatty liver.
I reckon I'm gonna cut out all booze for a while.
Keto has been on my mind, but I wasn't sure if a higher fat diet would be a good idea....but I haven't really dove in and researched it all that well. Using stored fat for energy does seem like it should be an effective way to alleviate some of that...
All of my liver function tests are normal. Ultrasound is consistent with fatty liver.
I reckon I'm gonna cut out all booze for a while.
Keto has been on my mind, but I wasn't sure if a higher fat diet would be a good idea....but I haven't really dove in and researched it all that well. Using stored fat for energy does seem like it should be an effective way to alleviate some of that...
Posted on 8/20/19 at 10:08 pm to AUjim
Yes, it was a scary step for me as well. Keto not necessary, just an option. The deposits of adipose get stored in the liver due to excess energy, so that's why going high on one and low on the other will help (carbs & fat). Alcohol isn't helping things, but unless you were guzzling tons of empty calories with the alcohol (which is completely possible) then it will not impact reversal as much as diet change.
Brother-in-law has also had successful reversal in last year ditching alcohol and switching to whole foods diet, just balanced eating with 1 ingredient.
Brother-in-law has also had successful reversal in last year ditching alcohol and switching to whole foods diet, just balanced eating with 1 ingredient.
Posted on 8/20/19 at 10:21 pm to AUjim
With 3 days off and assuming you’re accurately self reporting on alcohol consumption, that’s way too high.
Most recently, had a routine lab (diabetic so I get these every few months) coming off of a vacation where I drank every day (6-10 drinks for a week straight if I’m being honest, and 1-2 days probably in excess of that), including 3 beers the day before labs on a long layover ... and 15 and 37 on liver enzymes.
Did you overconsume sugars/simple carbs prior to labs? From a roundabout point of view sugars/alcohols impact the liver similarly.
In both cases, alcohol (since the body is managing acetic acid concentration) and sugar/simply carb consumption (since your body wants to manage blood glucose and these migrate to your body as as glucose straight from the intestines) prevent your liver from operating in Glycogenesis, meaning that your liver will just store excess sugar, storing it as fat eventually.
Most recently, had a routine lab (diabetic so I get these every few months) coming off of a vacation where I drank every day (6-10 drinks for a week straight if I’m being honest, and 1-2 days probably in excess of that), including 3 beers the day before labs on a long layover ... and 15 and 37 on liver enzymes.
Did you overconsume sugars/simple carbs prior to labs? From a roundabout point of view sugars/alcohols impact the liver similarly.
In both cases, alcohol (since the body is managing acetic acid concentration) and sugar/simply carb consumption (since your body wants to manage blood glucose and these migrate to your body as as glucose straight from the intestines) prevent your liver from operating in Glycogenesis, meaning that your liver will just store excess sugar, storing it as fat eventually.
Posted on 8/23/19 at 1:15 pm to AUjim
quote:
Keto has been on my mind, but I wasn't sure if a higher fat diet would be a good idea....but I haven't really dove in and researched it all that well. Using stored fat for energy does seem like it should be an effective way to alleviate some of that...
If you don't wont to be so restrictive on keto - just eating real foods (no boxes/grains) will help reverse the fatty liver. I'd imagine keto would speed it up, but there is no evidence of that. The basic knowledge on the research is crappy diets lead to Non-Alcoholic Fatty Liver Disease (NAFLD).
Sadly, NAFLD is becoming more prevalent in children....and we know they *aint* pounding the beers. Roughly twenty years ago there wasn't much distinction between NAFLD and fatty liver disease, which was originally though to be from alcohol consumption...but the fact that kids were being diagnosed with it really opened some eyes and now we have the research we have today. This small subset of health shows the slow movement in medical advice (as should be the case).
This post was edited on 8/23/19 at 1:16 pm
Posted on 8/23/19 at 4:14 pm to BRIllini07
Liver enzymes were redrawn on the day I had the ultrasound....and they were almost normal.
Last drink was Sat 8/10. Labs drawn Wed 8/14, then again on 8/19.
AST went from 241 to 45
ALT went from 100 to 61
Still officially diagnosed with a fatty liver...But it seems since really my diet and exercise have been the same for quite a while, the enzymes were elevated mostly due to alcohol consumption...
Just seems like a pretty wild swing...
Last drink was Sat 8/10. Labs drawn Wed 8/14, then again on 8/19.
AST went from 241 to 45
ALT went from 100 to 61
Still officially diagnosed with a fatty liver...But it seems since really my diet and exercise have been the same for quite a while, the enzymes were elevated mostly due to alcohol consumption...
Just seems like a pretty wild swing...
This post was edited on 8/23/19 at 4:15 pm
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