If my Alt was 100 and ast was 89 a year and a half ago but I still continued to drink a bottle of wine every day - what would I expect them to be today?  I also had protein and bilirubin in my urine.  A year and a half ago, when I got my results, I didnt know what alt and ast meant so I never went back to the doc to discuss?  I dont have any other symptoms of liver damage except that on three occasions my stool was ashy - Im 40 yr old female and have been drinking wine nightly for over 15 years - Im headed to the doc today but Im really nervous and cant stop googling systems - its making me lose my mind!!!!
HelloElevated liver enzymes like increased ALT and AST may indicate liver injury. It may be due to many reasons like hepatitis, alcohol intake, altered lipid profile, medicines,autoimmune causes etc. Raised liver enzymes may be due to alcohol intake in your case. You should avoid alcohol completely and this is vital for your health. You may need clinical evaluation and investigations like routine hologram, random blood sugar, lipid profile, complete liver function test, viral markers, ultrasound of abdomen. I suggest tablet ursodeoxycholic acid 300 mg tablet twice daily for three months. It helps in regeneration of liver cells. You should avoid saturated fat and go for brisk walk regularly. Get well soon. Take Care Chat Doctor.