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What are unsafe liver levels?

Published in Liver Health 2 mins read

Unsafe liver levels are generally considered to be significantly elevated levels of liver enzymes, specifically ALT (Alanine Aminotransferase) and AST (Aspartate Aminotransferase), in a blood test. While the specific thresholds vary slightly between laboratories, values exceeding the normal ranges by several multiples are cause for concern.

Here's a more detailed breakdown:

  • Normal Ranges (Typical):

    • AST: 10 to 40 units per liter (U/L)
    • ALT: 7 to 56 units per liter (U/L)
  • Mildly Elevated Levels: These are usually 2 to 3 times higher than the upper limit of the normal range. While these levels may indicate liver stress or damage, they might not always be a cause for immediate alarm, but require further investigation by a doctor.

  • Significantly Elevated/Unsafe Levels: Levels significantly exceeding the normal ranges, particularly those reaching into the hundreds or thousands (1000s) of U/L, indicate more serious liver damage or disease. These levels require prompt medical attention.

Factors Influencing Interpretation:

It's crucial to understand that a single elevated liver enzyme reading isn't always definitive. A doctor considers several factors when interpreting liver function test results, including:

  • Patient's medical history: Pre-existing conditions can influence liver enzyme levels.
  • Medications: Certain medications can cause liver enzyme elevations.
  • Alcohol consumption: Excessive alcohol use can damage the liver.
  • Symptoms: Presence or absence of symptoms like jaundice, abdominal pain, fatigue, or nausea.
  • Trend of liver enzyme levels: A single high reading is less concerning if previous tests were normal and subsequent tests show a return to normal levels. Persistently elevated or rising levels are more concerning.

Examples of conditions that can cause elevated liver enzymes:

  • Viral hepatitis (A, B, C)
  • Alcoholic liver disease
  • Non-alcoholic fatty liver disease (NAFLD)
  • Drug-induced liver injury
  • Autoimmune hepatitis
  • Biliary obstruction
  • Liver cancer

Disclaimer: This information is for general knowledge only and should not be interpreted as medical advice. Always consult with a qualified healthcare professional for diagnosis and treatment of any medical condition.

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