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  1. I am looking over old lab tests at past liver panels, because DS12 is having a problem with copper metabolism (low ceruloplasmin and high unbound copper). I am trying to decide whether to push for a consultation with a liver specialist. A question for any of you who know this, just to tell me if the following is something of concern: DS12 has had numerous liver panels done over the past few years and have never raised the concern of his doctors. But what I have just realized is that, although his AST and ALT are always within normal range, the AST is always higher than the ALT and it's supposed to be the other way around. The ratios have ranged from 1.1 to 1.7. I have learned that such an ALT/AST inversion is of concern for liver damage, but is that true even when they are both within normal limits? I can't seem to find that answer for myself by searching. His bilirubin has ranged from 0.2 to 1.4 and his Alb:Glob ratio is usually high-normal or very slightly elevated. But my main question is about that ALT/AST inversion. Am probably going to ask for a consult with a specialist, but it's always nice to have knowledge ahead of time. Thank you!
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