I noticed an elevated ALT level in a blood sample result from a blood test done yesterday.  I expect it may be caused by using methotrexate as part of the maintenance therapy chemo I am doing for APL leukemia.  Since high normal for ALT is 61 and my reading was 110, in your opinion, is there a need to talk with my doctor right now or can it wait until our appointment in a week.  Thanks
Hi thanks for contacting Chat Doctor ... Noted you have acute promyelocytic leukemia..... Taking methotrexate for it.....ALT might elevate because of it.... You can wait up to week as up to appointment......Meanwhile, take low fat diet with fruits and green leafy veg eaten more.... You can take oatmeal, whole grain, yogurt, cereal etc.... Junk food avoided.... Avoid alcohol.... Our aim is to treat leukemia. So chemotherapy should continue with above measures and close clinical follow up..... Take care...... Chat Doctor.