Mildly elevated enzymes
I’m a 37yo female and I’ve always been in the overweight / class 1 obesity range. I was diagnosed with NAFLD back in 2017 after having an ultrasound. My liver enzymes have always been in the normal range. I just had a blood draw yesterday in advance of my annual physical and my AST is 36, ALT is 51, which is basically double what they were last year. All of my other lab results (alkaline phos, bili, creatine, protein, etc.) were normal. A1C and cholesterol are also normal.
I understand that my liver enzymes are only mildly elevated, but I’m freaking out a little and won’t hear from my doctor until next week. I’m not a heavy drinker and I don’t take Tylenol. I’m currently on wegovy and I’ve lost ~10lbs over the past few months, aiming to lose 35lbs to get into the “normal” BMI range.
The only change in medication I can think of since last year is that I’m on atomoxetine, but a low dose (40mg). I’m concerned that the enzyme elevation means my liver disease is progressing. I’m assuming that my doctor might want to do more tests and repeat labs in a few months.
Has anyone else experienced anything similar? Looking for insight on what to expect and what I can do to improve my liver health other than continue with weight loss.