My 63 year old husband has just had a blood test result showing ALT level of 47.  His GP says this is slightly raised and husband is now concerned.  He drinks 1 or 2 glasses of white wine per week, he is a Dartmoor guide so walks 6 - 8k 3 or 4 times each week.  He is fit and healthy otherwise with a good diet although eats a lot of red meat.  Should we be concerned?
Hello and thank you for asking Chat Doctor. I have read the report of your husband, and I understand your concerns. First I want to say to not worry about the ALT level of 47. There are a lot of reasons why a healthy patient, has elevated ALT.-very strenuous exercise or severe injury to a muscle (your husband walks a lot, exercise)-medicines, such as statins, antibiotics, aspirin, acetaminophen (paracetamol)-alcohol (your husband has 1 or 2 glasses of wine per week)-fatty liver CTIF I was your doctor, i would recommend having a low fat diet, fresh fruit and vegetables, plenty of water and change the white wine with the red one, because of its ability to protect the heart. He is doing a healthy life with the walks. He needs to do another blood test after 1 month or more to check the ALT/AST levels. But as I said, a level of 47 is normal, so don't worry at all. If you have any other question, feel free to ask me. Chat Doctor.