Can elevated ALT and AST levels recover on their own?

Sep 20, 2024 Source: Cainiu Health

Dr. Yang Ziqi

Introduction

In general, ALT refers to alanine aminotransferase, and AST refers to aspartate aminotransferase. If both are elevated, physiological increases usually resolve spontaneously, whereas pathological elevations mostly do not. In daily life, it is recommended to maintain healthy lifestyle habits, keep a regular sleep schedule, and quit smoking and alcohol. If any physical discomfort occurs, prompt medical attention should be sought to avoid delaying diagnosis and treatment.

Under normal circumstances, ALT refers to alanine aminotransferase, and AST refers to aspartate aminotransferase. If both are elevated, physiological increases can usually resolve spontaneously, whereas pathological elevations generally do not resolve without treatment. The specific analysis is as follows:

Alanine aminotransferase and aspartate aminotransferase are indicators of liver function. In daily life, unhealthy habits such as excessive alcohol consumption, staying up late, poor diet hygiene, or overexertion may lead to elevated levels of these enzymes, which is considered a physiological increase. In such cases, the condition usually resolves on its own through dietary adjustments, improving lifestyle habits, quitting smoking, and abstaining from alcohol.

If the elevation in these enzyme levels is due to pathological causes—such as chronic hepatitis B, viral hepatitis B, or liver cirrhosis—patients may also experience symptoms like jaundice or liver area pain. These underlying conditions typically do not resolve spontaneously and require timely medical attention. Under a doctor's guidance, medications such as entecavir tablets, ceftriaxone sodium for injection, and bicyclol tablets may be used for treatment.

In daily life, it is recommended to maintain healthy habits, follow a regular sleep schedule, and avoid smoking and alcohol. If any physical discomfort occurs, prompt medical consultation is advised to prevent delays in diagnosis and treatment.

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