How to Lower Elevated Liver Function Tests: Expert Advice - Internal Medicine

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Elevated liver function tests (LFTs) can be concerning, and it's important to understand the underlying causes and appropriate management strategies. Based on the information provided, it appears that you have been experiencing consistently elevated liver enzyme levels, specifically AST (SGOT) and ALT (SGPT). Here’s a comprehensive approach to help you lower your liver function tests and improve your liver health.


Understanding Liver Function Tests
Liver function tests typically measure enzymes such as AST and ALT, which are released into the bloodstream when liver cells are damaged. Elevated levels can indicate liver inflammation or injury, which may be due to various factors, including viral hepatitis, fatty liver disease, alcohol consumption, medications, or metabolic disorders.


Steps to Lower Elevated Liver Function Tests
1. Identify Underlying Causes: The first step in managing elevated liver enzymes is to identify the underlying cause. This may involve additional tests, such as imaging studies (ultrasound, CT scan) or blood tests to check for viral hepatitis (like Hepatitis B and C), autoimmune liver diseases, or metabolic conditions.

2. Lifestyle Modifications:
- Diet: Adopt a liver-friendly diet. Focus on whole foods, including fruits, vegetables, whole grains, lean proteins, and healthy fats. Avoid processed foods, high sugar, and high-fat foods, particularly trans fats.

- Weight Management: If you are overweight or obese, losing weight can significantly improve liver health. Aim for a gradual weight loss of 1-2 pounds per week through a combination of diet and exercise.

- Exercise: Regular physical activity can help reduce liver fat and improve overall liver function. Aim for at least 150 minutes of moderate-intensity aerobic exercise each week, along with strength training exercises twice a week.

3. Avoid Alcohol and Toxins: Alcohol can exacerbate liver damage, so it’s crucial to avoid or limit alcohol consumption. Additionally, be cautious with medications and supplements, as some can be hepatotoxic. Always consult with your healthcare provider before starting any new medication or supplement.

4. Manage Stress: Chronic stress can negatively impact liver health. Engage in stress-reducing activities such as yoga, meditation, or hobbies that you enjoy.

5. Regular Monitoring: Regular follow-up with your healthcare provider is essential. This may include periodic liver function tests to monitor your progress and adjust your management plan as needed.

6. Medications: In some cases, medications may be necessary. For example, if you have non-alcoholic fatty liver disease (NAFLD), your doctor may consider medications that target insulin resistance or lipid levels. Silymarin (milk thistle) is sometimes used as a supplement to support liver health, but its efficacy varies, and it should be used under medical supervision.

7. Avoid Herbal Supplements: While some herbal supplements are marketed for liver health, they can sometimes do more harm than good. Always discuss any supplements with your healthcare provider.


Conclusion
Elevated liver function tests can be a sign of underlying liver issues, but with the right approach, you can work towards lowering these levels and improving your liver health. Focus on lifestyle changes, regular monitoring, and working closely with your healthcare provider to identify and manage any underlying conditions. Remember, patience and consistency are key, as liver health improvements can take time. If your liver enzymes remain elevated despite these efforts, further evaluation and possibly more aggressive treatment may be necessary. Always prioritize open communication with your healthcare team to ensure the best outcomes for your liver health.