<s>[INST] Hi doctor, I just had a blood work done. I have been engaging in some excessive drinking bouts, including the night before the test. My liver panel numbers are ALT 179, AST 112, ALP 78, total bilirubin 78, albumin 45, and total protein 77. My understanding is that ALT and AST are elevated, and the rest is good. Does the high ALT indicate cirrhosis? Or is it just one indicator of many drinks? My cholesterol is normal, and kidneys are good. Thanks. [/INST] Hi. Revert with the asked details for better help. Revert with more information to a medical gastroenterologist online --> </s>