<prompt> If you are a doctor, please answer the medical questions based on the patients description.hello i am 46 years male. after ist test my alt level was 198,while normal range was given upto 45 ul .after 2nd test it was 110. after 3rd test it was 40.and now after 4th test it is again 54 uL .all these tests were repeated after 45 days.how can i maintain my alt in normal ranges.is 54 ul alt level dangerous.  <response>: Hi, Usually ALT or AST values higher than two times the upper normal limit, is considered abnormal in some countries, ALT or AST values of more than 100 are considered abnormal. Value of AST or ALT greater than 85 or above maybe investigated further. Viral hepatitis, increased Alcohol ingestion and obesity are common causes of liver disease. All these should be ruled out. Advice:- abstinence from Alcohol - LOW fat diet should be followed, AVOID junk food and beverages-NO red meat-Green vegetables should be ingested daily-Use lemon juice lemonade once in a day-Reduce weight if overweightobese- Recheck liver enzymes after 6 to 12 months andor ultrasound Hope to answer your concern. Any further questions are welcome. Wish you good health. Chat Doctor. 