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LFT- ast:alt ratio high
Helo team,
Ast:alt ratio is 2 on recent blood test
Alp is normal.
Not an alcoholic person.
No cholestrol. On Diabetes medicines from 1.5years
Something to be worried? Any other tests to be done?
Answers (18)
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An AST:ALT ratio ≈ 2 often raises concern, but context matters.
Next Steps
• Check actual values of:
– AST
– ALT
– Bilirubin
• If not done recently:
– Ultrasound abdomen (to screen for fatty liver)
• Optional baseline tests:
– HbA1c (diabetes control)
– Lipid profile
• Repeat LFT after 3–6 months
Health Tips
• Control blood sugar strictly (very important)
• Maintain healthy weight
• Regular exercise
• Avoid unnecessary medications/supplements
⚠️ When to worry:
• AST/ALT rising persistently
• Symptoms like jaundice, fatigue, abdominal pain
⸻
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If you want to discuss your problem in more detail, feel free to message me on WhatsApp at nine one one nine two five five six nine nine for a detailed discussion
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Ast:alt ratio is significant when their levels are elevated,if not, you don't need to be concerned
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AST:ALT ratio of 2 with otherwise normal LFT and no alcohol history is usually not significant alone. It can be due to mild muscle-related enzyme variation, early fatty liver, or lab variation, not necessarily liver disease.
Next Steps
To do
-Repeat LFT after 4–6 weeks
-Serum CPK (to rule out muscle source)
-Ultrasound abdomen (fatty liver screening)
-HbA1c (diabetes control assessment)
Health Tips
-Control blood sugar strictly
-Regular exercise, at least 30 minutes daily
-Avoid unnecessary medications and alcohol
-Do not worry based on ratio alone, trend is more important
contact me anytime on practo for further consultation
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Do consult
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Additional tests needed.please consult.
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No worry.
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If in normal range no need to worry
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AST:ALT ratio of 2 can be seen in liver stress but alone not serious, especially if values are near normal.
Since ALP is normal and no alcohol history, monitor and repeat LFT after 4–6 weeks. Also check viral hepatitis profile and ultrasound abdomen once.
No need to worry immediately, but do basic evaluation. Please consult me for proper assessment and treatment.
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Nothing to be done
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Dr. Vetsa Sri Krishna Chaitanya
General Physician
7 yrs exp
Rajahmundry
Need a few more details please consult for further evaluation and treatment
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Dr. Araniya Poojaben Bharatbhai
General Physician
3 yrs exp
Rajkot
Here the ratio of ast:alt is 2
It can be non alcoholic fatty liver disease as it is in many cases of diabetes
We have to check for hba1c,usg abdomen and repeat the lft report after a week.
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Dr. Sajid Ali
General Practitioner
4 yrs exp
Kanpur
No need to worry if it is normal range
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Dr. Amarnath A
Gastroenterologist
12 yrs exp
Bangalore
You can consult with me at ANAYA LIVER AND GASTRO CARE, BTM LAYOUT 2ND STAGE for further evaluation.
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Dr. Rachna Pande
Internal Medicine
42 yrs exp
Bhopal
It has no significance unless other liver function tests are deranged.
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Dr. Anuj Mothsra
General Physician
6 yrs exp
Jhunjhunu
Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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Dr. Tushar Kapoor
General Practitioner
Ahmedabad
If absolute value is normal or mildly raised AST:ALT = 2 is not significant. It can be due to early stages of MASH. It is advised to share absolute values of LFT.
Next Steps
Repeat LFT after 4-6 weeks, USG whole abdomen
Health Tips
Look for symptoms like anorexia, fatigue and weight loss.
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