What To Do If ALT Level Reaches 120 In Fatty Liver Disease

When a patient is diagnosed with fatty liver disease and experiences a significant increase in liver enzymes—such as an ALT (alanine aminotransferase) level above 120 U/L—it often indicates substantial liver cell damage. Immediate medical attention is crucial in such cases to prevent further complications. Prompt treatment with anti-inflammatory, liver-protecting, and enzyme-lowering medications is generally recommended to reduce ALT levels and stabilize liver function.

It's also essential to investigate other potential causes of elevated ALT levels beyond fatty liver. Viral hepatitis, including both hepatotropic viruses (such as hepatitis A, B, and C) and non-hepatotropic viruses (like Epstein-Barr or cytomegalovirus), can also lead to increased transaminase levels. Comprehensive blood tests and liver function assessments should be conducted to rule out other underlying conditions.

Moreover, temporary elevations in ALT can occur due to recent illnesses, such as the common cold or other mild infections. Therefore, it's important to consider the timing of the blood test in relation to any recent health changes or symptoms. Doctors may recommend repeating the test after recovery to obtain a more accurate reflection of liver health.

Lifestyle modifications, including a balanced diet, regular exercise, and alcohol avoidance, are also vital in managing fatty liver disease and supporting liver recovery. Patients should work closely with their healthcare providers to develop a personalized treatment and monitoring plan.