Hello. It is commendable that your husband quit alcohol two years ago. However, his current ALT (SGPT) level of 67 U/L is mildly elevated (normal is typically under 40-45 U/L), which indicates mild ongoing
liver inflammation.
Since he has stopped drinking, this mild liver enzyme elevation and his symptoms (gas, stomach pain) are most likely due to Metabolic Dysfunction-Associated Steatotic Liver Disease (formerly Non-Alcoholic Fatty Liver Disease or NAFLD), driven by a diet high in processed foods and saturated fats
Next Steps
Ultrasound Abdomen & KUB: Get a routine abdominal ultrasound to check the current grade of fatty
liver (Grade 1, 2, or 3).
Additional Blood Work: Check
Fasting Blood Sugar,
HbA1c, and a complete
Lipid Profile, as fatty liver is often associated with high cholesterol or insulin resistance.
Health Tips
Dietary Overhaul: Cut down on fast food, deep-fried items, refined flour (maida), sugary beverages, and excessive red meat. Shift to a Mediterranean-style diet high in fresh vegetables, whole grains, oats, nuts, and lean protein (like grilled fish or chicken).
Weight & Exercise: Engage in at least 30 minutes of moderate aerobic exercise (brisk walking, jogging, cycling) 5 days a week.
Gradual weight loss (5–7% of body weight) is the most effective way to reverse fatty
liver and normalize ALT levels.
Hydration: Drink plenty of water (2.5 to 3 liters daily) and limit carbonated drinks or processed juices.
Avoid Self-Medication: Avoid over-the-counter painkillers (like NSAIDs) unnecessarily, as they can cause stomach irritation and burden the liver.