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73 Year Old Male Asks: Is My Liver Okay? AST/ALT Ratio Questioned.

Dr Hemalata

Dr Hemalata Arora  | Answer  |Ask -

General Physician - Answered on May 02, 2024

Dr Hemalata Arora is a senior consultant who practises internal medicine at Mumbai’s Nanavati Max Super Speciality Hospital.
In a career spanning over 24 years, she has focused on managing infectious diseases, critical illnesses and lifestyle disorders.
Dr Arora completed her MBBS and MD from the King Edward Memorial Hospital and Seth Gordhandas Sunderdas Medical College in Mumbai.
She is ECFMG certified, accredited by the American Board of Internal Medicine, Diplomate of the National Board and a DNB faculty.
She was honoured with the Paul Bunn award for her promising performance in the field of infectious diseases at SUNY Upstate Medical University, New York.... more
Asked by Anonymous - Apr 30, 2024Hindi
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I am 73 years old male. I am physically active & do 8 to 10 km very fast walk( 7.0km/hour) for 5 days in a week & yoga everyday. I do consume alcohol once or twice in a week amounting to about 500 ml per week. I regularly go through LFT. I have a doubts about AST & ALT & its ratio.My average of last 4 years AST is 29.35 & ALT 14.65. Though it is well within the limit the average of last 4 AST to ALT ratio is 2.1. It is much more than desired of less than 1. Is it ok? Is my lever fine. Last ultrasound done shows normal findings. Please advise. My weight is 82 kgs & height 6 feet

Ans: The numbers are quite ok but the elevation in the AST is secondary to alcohol and it is a very mild elevation, still within normal range. But as we get older our systems are less tolerant, so it would be better to watch the intake of alcohol and keep it a bit lower still.
DISCLAIMER: The answer provided by rediffGURUS is for informational and general awareness purposes only. It is not a substitute for professional medical diagnosis or treatment.
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Dear Doctor, I work as a corporate lawyer in Delhi. I’ve been considering undergoing a cosmetic procedure for my skin for some time now, but I’m feeling a bit overwhelmed by the number of surgeons available. I want to ensure that I choose someone who is experienced, as this is a big decision for me. Could you advise what I should look for when selecting a plastic-aesthetic surgeon? Are there any specific red flags I should be aware of when researching potential surgeons? I want to make sure I’m in safe hands. I’m 40 years old.
Ans: This is a beautiful question.
Before I dwell on your question, there are a few points which are very important for the patient to know.
1. You should roughly know what result you wish to have.
2. Never think of a perfect result. There is no such result.
3. You must think in terms of improvement and if you are sble to achieve more than 90% approx, it can be considred good.
4. Dont compare your results with any celebrity's result. There body structure is different, they have probably taken better care till now and importantly, the result you see on a public platform is after make up and not the real result. Some times it may be a photoshopped image
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7. Try and see some results of the doctors work (Remember, too good a result may not be the true result). Realistic result is what you should want to look at and believe.
8. Don't fall for less budget! its obvious a meticulous job needs more surgical time. This means that the doctor may charge more. Seniority also adds to the cost.
What I mean, there is a price to be paid for a good job.(whether medical or anywhere).
Now coming to the Plastic surgeon's choice.
1. Research well, but dont fall prey to only advertisement. Small and big centers, both advertise,
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I hope I am able to do justice to this difficult question. All the best. You can write again if you need any other clarifications.
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