Reasons for an asymptomatic raised alt
Alcohol abuse
Drugs
Chronic hep b/c
Steatosis
Inflammation of the liver (autoimmune/haemochromatosis)
Wilson’s
Alpha 1 sntitrypsism
Non liver;
Coeliac
Muscle disease/exercise
Budesanide is a good steroid to use for bowel problems… why?
Because it is mainly absorbed into the bowel and very little enters the blood stream