Cholesterol and Liver Enzyme Levels: A Health Guide

Cholesterol and liver enzymes?

Hello doctor, I recently received my health check report.
My height is 163 cm, weight is 53 kg, cholesterol level is 260 (normal range is 0-200), and liver enzyme level is 10 (normal range is 14-54).
I usually exercise, playing basketball three times a week, and my diet is quite normal, although I tend to have late-night snacks about twice a week.
My daily routine is also normal, and I don’t smoke or drink alcohol.
I drink red tea for breakfast and have about two sugary drinks a week.
However, my cholesterol is too high and my liver enzyme level is too low.
I understand that high cholesterol may be due to consuming too much meat or fatty foods, but what could be causing my low liver enzyme level? Could you please help me identify any issues? Also, what are the implications of having low liver enzyme levels, and how can I improve this? Thank you!

Moira, 20~29 year old female. Ask Date: 2016/04/12

Dr. Chen Shidian reply Gastroenterology and Hepatology

Hello, Miss.
A low liver enzyme level generally does not indicate any issues; it is often due to a smaller body size.
Changhua Hospital cares about your health.
Chen Shidian.

Reply Date: 2016/04/12

More Info

Understanding cholesterol and liver enzyme levels is crucial for maintaining overall health, especially as they can indicate underlying metabolic issues. Based on your reported values, you have a total cholesterol level of 260 mg/dL, which is above the normal range (0-200 mg/dL), and a liver enzyme level (likely referring to ALT or AST) of 10, which is below the normal range (14-54). Let's break down what these numbers mean and how you can address them.

Cholesterol Levels
Cholesterol is a waxy substance found in your blood, and it is essential for building cells and producing hormones. However, high levels of cholesterol, particularly low-density lipoprotein (LDL) cholesterol, can lead to plaque buildup in your arteries, increasing the risk of heart disease and stroke. Your total cholesterol level of 260 mg/dL indicates that you may have elevated LDL levels, which is a concern.

Causes of High Cholesterol:
1. Diet: Consuming high amounts of saturated fats (found in red meat and full-fat dairy products) and trans fats (found in many processed foods) can raise cholesterol levels.

2. Weight: Being overweight can increase LDL cholesterol levels.

3. Physical Inactivity: Lack of exercise contributes to weight gain and higher cholesterol levels.

4. Genetics: Family history can play a significant role in cholesterol levels.

Recommendations to Lower Cholesterol:
- Dietary Changes: Focus on a heart-healthy diet rich in fruits, vegetables, whole grains, and lean proteins. Limit saturated fats and eliminate trans fats. Foods high in omega-3 fatty acids (like salmon and walnuts) can also help lower cholesterol.

- Regular Exercise: Aim for at least 150 minutes of moderate aerobic activity each week, such as brisk walking or cycling.

- Weight Management: If you are overweight, losing even a small amount of weight can help lower cholesterol levels.

- Limit Alcohol and Quit Smoking: Both can negatively impact cholesterol levels and overall heart health.

Liver Enzyme Levels
Your liver enzyme level of 10 is below the normal range, which can be puzzling. Low liver enzyme levels are generally not a cause for concern and may indicate good liver function. However, it is essential to consider the context of your overall health and any symptoms you may be experiencing.

Possible Reasons for Low Liver Enzyme Levels:
1. Good Liver Health: Low levels can indicate that your liver is functioning well and not under stress.

2. Nutritional Factors: A diet low in certain nutrients can sometimes lead to lower enzyme levels, but this is less common.

3. Hydration Levels: Dehydration can sometimes affect enzyme levels, so ensure you are well-hydrated.

Recommendations for Liver Health:
- Maintain a Balanced Diet: Ensure you are consuming a variety of nutrients to support liver health.

- Stay Hydrated: Drink plenty of water throughout the day.

- Regular Check-ups: Continue to monitor your liver enzyme levels and overall health with your healthcare provider.

Conclusion
In summary, your elevated cholesterol levels warrant attention and lifestyle modifications, while your low liver enzyme levels are likely not a cause for concern. Focus on a balanced diet, regular exercise, and maintaining a healthy weight to improve your cholesterol levels. Additionally, continue to monitor your liver health through regular check-ups. If you have any specific symptoms or concerns, it is always best to consult with your healthcare provider for personalized advice.

Similar Q&A

Understanding Cholesterol and Liver Enzymes: Risks and Recommendations

Hello Dr. Hsiao, about a year ago, I had blood tests done at the family medicine department of the hospital and found that my ALT liver enzyme levels were around 40-60, and my cholesterol levels were 217, 207, and 224. During my last school health check, my liver enzyme level was...

Dr. Xiao Yongxun reply Family Medicine
Dear Mr. Cc: 1. If total cholesterol and low-density lipoprotein (LDL) cholesterol levels are elevated over the long term, the risk of cardiovascular diseases, cerebrovascular diseases, and peripheral artery diseases increases. Clinical management primarily involves lifestyle mo...

Understanding Liver Function Abnormalities: Cholesterol and Other Causes

As per your inquiry, GPT is 90, GOT is 95, total cholesterol is 209, and low-density lipoprotein (LDL) cholesterol is 136. Six months ago, an abdominal ultrasound showed that fatty liver had resolved. At that time, you weighed 67 kg, and now you weigh 73 kg, which may indicate a ...

Dr. Chen Shidian reply Gastroenterology and Hepatology
Weight gain can significantly affect fatty liver disease. Cholesterol levels do not necessarily impact fatty liver. Additionally, be cautious with the use of lipid-lowering medications, as they may cause an increase in liver function tests in a small number of individuals.

Understanding Your Liver and Cholesterol Test Results: Key Insights

Hello Doctor, the examination results from 11/06 are as follows: Fasting Blood Sugar: 126 Hemoglobin A1c: 6.8 Triglycerides: 87 Total Cholesterol: 198 LDL: 154 HDL: 38 Creatinine: 1.0 BUN: 19 Direct Bilirubin: 0.1 Total Bilirubin: 0.6 Alkaline Phosphatase: 2...

Dr. Chen Qifeng reply Gastroenterology and Hepatology
Hello, 1. Liver function tests and ultrasound interpretation should take into account the history of alcohol consumption and hepatitis to provide a comprehensive assessment. 2. Total cholesterol levels are not high, but LDL is elevated and HDL is low, indicating poor dietary s...

How to Lower Your Cholesterol Levels: Tips for a Healthier Heart

A few days ago, my health check report came back, and my cholesterol level is particularly high at 238. The other values, such as uric acid, creatinine, and liver function tests, are all normal. What can I do to lower this level?

Dr. Yang Hongzhi reply Internal Medicine
Cholesterol levels should ideally be kept below 200 mg/dL. Initially, dietary modifications can be implemented to manage this. It is advisable to reduce the intake of egg yolks, meats, seafood, animal fats, fatty meats, and whole milk. After 3 to 6 months, a follow-up should be c...