Suggest treatment for elevated ALT and AST levels
Patient: My ALT WAS 1741 and my AST 948 and my liver specialist just kept repeating my labs for 4 weeks until I could hardly walk on my own and I went to an internist who send me to the hospital. This was about 19 months ago and as I look back I just can’t figure out why he didn’t start me on prednisone immediately. What would standard procedure be? Doctor: Hello and Welcome to ‘Ask A Doctor’ service.  I have reviewed your query and here is my advice.  If the enzymes are persistently high and the diagnosis is unclear, it is better to go for a liver biopsy to make a diagnosis. You can seek from a hepatologist for expert opinion.  Hope I have answered your query.  Let me know if I can assist you further.