<s>[INST] In January, I had a liver panel done. Here are my results: ALT 69 <41 units/L ALKALINE PHOSPHATASE 132 20-125 units/L BILIRUBIN, TOTAL 0.3 0.1-1.0 mg/dL GGT 89 0-62 units/L Are these considered high. I exercise reguarly, and my metabolism is high. Despite what I eat, I usually never gain excess weight. I do drink every once in a while. [/INST] Hi.Thanks for posting query at HCM.Usually ALT or AST values higher than "two times the upper normal limit", is considered abnormal ( in some countries, ALT or AST values of more than 100 are considered abnormal). Value of AST or ALT greater than 85 or above maybe investigated further.Alcohol ingestion and obesity are common causes of fatty liver disease.also rule out Hpeb and C infection .advice :- abstinence from "Alcohol" - LOW fat diet should be followed, AVOID junk food and beverages- decreased oil consumption (oily food)- NO red meat- green vegetables should be ingested daily- use lemon juice (lemonade) once in a day- reduce weight if overweight/obese-"recheck liver enzymes after 16 to 24 weeks" and/or ultrasound.any further questions are welcomed.hope to answer your concern.wish you good health.regards,Dr Tayyab Malik </s>