 
                
                10/31/2025 10:32:31 AM
A 45-year-old male visited CarePlus due to persistently elevated liver enzymes over several years, despite undergoing treatment at multiple facilities with no improvement. 
📌 Laboratory tests over time showed consistently elevated liver enzyme levels: AST fluctuated between 58–116 IU/L, ALT from 36–62 IU/L, and GGT above 80 IU/L — indicating chronic liver cell injury requiring further investigation into the root cause. 
🩺 After a thorough evaluation by Dr. Dinh Thi Ngoc Minh, Gastroenterology and Hepatology, including detailed medication history and advanced diagnostic tests, the patient was diagnosed with fatty liver and DILI (Drug-Induced Liver Injury) — a commonly overlooked cause of enzyme elevation.
A personalized treatment plan was developed, involving medication adjustment, nutritional and lifestyle modifications, and close monitoring over four weeks. 
👉 After one month, follow-up tests showed AST 25.7, ALT 22.5, and GGT 45.6 — all within normal limits. The patient reported improved health, better appetite and sleep, and reduced fatigue. 
1. Why should persistently elevated liver enzymes never be ignored?
Liver enzymes (AST, ALT, GGT) are found inside liver cells. Elevated enzyme levels indicate liver cell damage, which may result from inflammation, toxicity, or obstruction.
Liver enzyme elevation can sometimes be temporary — caused by alcohol use, medications, stress, viral infection, or even intense exercise. 
However, in many cases, even mild elevations may mask serious liver conditions, such as fibrosis or even early-stage liver cancer. 
Many people turn to over-the-counter “liver detox” products or supplements when they notice elevated enzyme levels. However, self-medicating can worsen liver injury, especially if the root cause remains unidentified. Elevated liver enzymes can be an early sign of: 
🔹 Viral hepatitis (B, C) 
🔹 Fatty liver or alcohol-related hepatitis 
🔹 Drug or toxin-induced liver injury 
🔹 Biliary obstruction or metabolic disorders 
2. When is it considered “elevated liver enzymes”?
According to the latest recommendations from the American Association for the Study of Liver Diseases (AASLD): 
♂️ Men: AST/ALT ≤ 35 IU/L 
♀️ Women: AST/ALT ≤ 25 IU/L 
Any value above these limits is classified as elevated liver enzymes — even slight increases warrant monitoring, as they could indicate early chronic damage.
When liver enzyme levels rise, patients should not self-treat or ignore the symptoms, but consult a hepatology specialist for proper evaluation. 
🩺 At CarePlus, Gastroenterology and Hepatology specialists combine clinical assessment, liver function testing, and imaging diagnostics — such as ultrasound, Fibroscan, or MRI (if needed) — to comprehensively evaluate liver health. 
Early detection, accurate diagnosis, and timely treatment help the liver recover quickly and prevent long-term complications.
☎️ Contact 1800 6116 or message the CarePlus fanpage for personalized consultation and quick support.