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Does Fatty Liver Cause High SGPT and SGOT?

Published in Liver Health 3 mins read

Yes, fatty liver disease can cause elevated levels of SGPT (ALT) and SGOT (AST). These liver enzymes are indicators of liver inflammation or damage.

Understanding SGPT (ALT) and SGOT (AST)

  • SGPT (ALT) - Alanine Aminotransferase: This enzyme is primarily found in the liver. Elevated ALT levels are highly suggestive of liver damage.
  • SGOT (AST) - Aspartate Aminotransferase: While also found in the liver, AST is present in other tissues like muscles and the heart. Elevated AST levels can indicate liver damage, but also damage to other organs.

How Fatty Liver Affects SGPT and SGOT

Fatty liver disease, specifically Non-Alcoholic Fatty Liver Disease (NAFLD), occurs when there's an excessive buildup of fat in the liver. This fat accumulation can lead to inflammation and damage to liver cells. When liver cells are damaged, they release ALT and AST into the bloodstream, causing the levels to rise.

Fatty Liver and Liver Enzyme Elevation: Key Points

  • Commonly Elevated: Elevated ALT and AST are common findings in individuals with fatty liver disease.
  • Severity Varies: The degree of enzyme elevation doesn't always correlate with the severity of the fatty liver. Some people with significant fat accumulation may have only mildly elevated enzymes, while others may have more substantial elevations.
  • Not Always Present: It is also important to note that some people with fatty liver may have normal SGPT and SGOT levels. The absence of elevated liver enzymes does not rule out the presence of fatty liver.
  • Further Investigation Needed: Elevated ALT and AST levels warrant further investigation to determine the underlying cause, which may or may not be solely due to fatty liver.

Diagnosis and Monitoring

Doctors use blood tests to measure ALT and AST levels. If elevated, further diagnostic tests, such as imaging (ultrasound, CT scan, MRI) or a liver biopsy, may be necessary to confirm the diagnosis of fatty liver disease and assess the extent of liver damage. Regular monitoring of liver enzyme levels is important for individuals with fatty liver to track the progression of the disease and the effectiveness of treatment strategies, which often include lifestyle modifications like diet and exercise.

In summary, fatty liver is a known cause of elevated SGPT and SGOT levels, but the severity of the elevation and the presence of these elevations can vary from person to person.

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