<s>[INST] I am a 45 y/o female in good health with an ALT that has gone from 36 in 2009 to 47 in 2011.  I understand it is due to a fatty liver.  What does having an elevated ALT mean to my overall health and likelihood of it developing into cirrhosis?  Thanks. [/INST] Hi, dairy have gone through your question. I can understand your concern. You have slightly high alpine transaminase level. It is a liver enzyme in its level increase in liver damage. Your level is changed slightly which is not significant clinically. It is common in fatty liver. Risk of cirrhosis depends on alcohol consumption and many other factors. You should avoid high fat diet and go for regular exercise. Avoid smoking and alcohol. Nothing to worry much about fatty changes in liver. It is very common condition. Just be relaxed. Hope I have answered your question. If you have any doubts then feel free to ask me. I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health. </s>