I am 20 months post op. My SGPT / ALT lab work came back 69 (normal 0 - 31).  The last time my blood was checked it was 39. I have no symptoms. Anyone know why this lab results is elevated? 

This could be liver damage or simply dehydration.  It is hard for a RNY patient to get in enough water and fluids.  Make sure you are not drinking alcohol and track your water intake carefully.  What does your doctor say?

mine came back very high recently and my GB was malfunctioning. ask the DR...

Thanks for the response. I drink at least 80 ounces of fluid a day and had my gall bladder taken out 25 years ago. I called my Bariatric Doctor and he said to have blood rechecked in 2 months. Just curious if others had this?

alcohol, tylenol, other medication... all can affect the liver enzymes.

I don't drink alcohol or take any Tylenol.

AST (SGOT) and ALT (SGPT) are both indicators of many thing usually having to do with your liver. That being said there are a bunch of things that can trigger elevated tests for SGOT and SGPT.

Here are the ranges for normal:

• ALT. 7 to 55 units per liter (U/L)
• AST. 8 to 48 U/L.
• ALP. 45 to 115 U/L.
• Albumin. 3.5 to 5.0 grams per deciliter (g/dL)
• Total protein. 6.3 to 7.9 g/dL.
• Bilirubin. 0.1 to 1.2 milligrams per deciliter (mg/dL)
• GGT. 9 to 48 U/L.
• LD. 122 to 222 U/L.

Yours are not that high and as your physician stated just bear keeping an eye out and seeing if there is a trend there or if this was a random high test. I'm sure you will be fine.

Ceci

HI!

First of all DO NOT PANIC!

Secondly, take this with a grain or a tablespoon of salt.

My ratio was wrong/high when I got evaluated in the WEIGHLOSS phase about a year AFTER my surgery.

I had a RAGING stomach flu and explosive (as in you dont know when or how much) diaherria (i.e liquid/runny poop).  I went to my NP and she freaked out over the ratio. She sent me immediately to my WLS surgeon who did not freak out at all.

As explained to me by the two parties:

1) NP: ARe you an alcoholic? Your liver is going to die soon based upon this ratio!

2) NP: You could have a parasitic infection! (Skinny likes sushi and sashimi and ingests lots of raw meat in a week. I am not perfect but sushi gives me the combo of veggies, meat, carbs that I crave. It also appears healthy).

3)WLS surgeons office: Nothing to worry about. Your ratio is off because obese people typically have fatty livers. You have lost a lot of weight (including in your liver) and it is having to work overtime.

Me:6 mon

4) Checking daily (to this day) for signs of jaundice/yellowed skin/eyes.

My point is: it has been about 1.5 years since that scary weird off ratio.  6 months later, the ratios were normal so I took it as an artifact of being sick or in the weightloss phase. I am still here.  While no one knocks on my door requesting my liver, no one tells me I am going to die either.

Unless you have cirohosiss, hep c, or a raging alcoholic, I would ignore those numbers until you are "done"

Good advice!

Mine were higher than that in the weight loss phase and once the weight was gone they are now normal. My surgeon too said my liver was having to work overtime to metabolize all the fat from my shrinking body.