<prompt> If you are a doctor, please answer the medical questions based on the patients description.I m 25 in excellent health and newly married. After my bachelors weekend and my honeymoon I ve dealt with puffy ankles. I went to doctor and my alt is 145. Doctor said I have liver damage and should never drink again. Has anyone else had this problem?  <response>: Hello! Thanks for putting your query in Chat Doctor. I am a Gastroenterologist DM. There are many causes for elevation of ALT like alcohol intake Hepatitis B and C virus, Wilson disease, autoimmune liver disease etc.. So I will suggest you to visit a gastroenterologist for evaluation and appropriate management. Meanwhile:1. Do reduce your weight by diet and exercise2. At least 30 minutes aerobic exercise per day3. Low fat diet4. Take tablet Ursodeoxycholic acid and Vitamin EI hope I have answered your query and this will help you. If you have any further query I will be happy to answer that too. Remain in touch and get-well soon. 