After 7 months on keto and a loss of 35 lbs., my liver enzymes went out of normal range. AST and ALT were up around 48 to 55 in August of 2025. By June of 2026, they had come down, one into normal and the other down, but still slightly elevated.
So I started taking NAC and choline daily and stopped alcohol. Now 6 weeks later, my liver enzymes are lower than they’ve ever been. Completely normal. I see the GI specialist Thursday. We’ll see what she says, but it sounds like I had a temporary keto enzyme spike which is now completely resolved.
That sounds really good.