What do other people advise when asked about persistent, mild (<2xULN)
isolated increases in ALT in otherwise (apparently) healthy people?. Every
couple of months I get a query about this from some GP or other who has
found it (usually by accident - as this morning's questioner said: "I wish
I'd never done it now"....).
Referral for liver Bx seems OTT (but is it?), attempts to pin the blame on
drink are usually resisted (and GGT/MCV usually OK). I tend to fall back on
the time-honoured 'keep an eye on it and if it's not rising I wouldn't
worry too much...'. Has ultrasound much to offer? Any further ideas?
Thanks
Mike
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