Do high transaminase levels in fatty liver require blood lipid testing?

Fatty liver with elevated transaminase levels usually requires lipid testing. Fatty liver may be related to abnormal blood lipid metabolism, and blood lipid testing can help assess the severity of the condition and develop intervention plans. When patients with fatty liver experience elevated transaminase levels, lipid testing is one of the routine evaluation items. Abnormal blood lipids are an important cause of fatty liver, especially elevated levels of triglycerides and low-density lipoprotein cholesterol, which are closely related to the progression of fatty liver. By detecting indicators such as total cholesterol, triglycerides, high-density lipoprotein cholesterol, and low-density lipoprotein cholesterol, it is possible to determine the presence of lipid metabolism disorders. This type of examination is of great significance for identifying the type of fatty liver, assessing cardiovascular risk, and guiding treatment. When the examination results are abnormal, the doctor may suggest adjusting the diet structure, increasing exercise, or considering medication treatment. In rare cases, elevated transaminase levels may be caused by other liver diseases, such as viral hepatitis, drug-induced liver injury, or autoimmune liver disease. At this point, the blood lipid test results may be normal, and further examination is needed in combination with liver function, hepatitis virus markers, autoantibodies, and other factors. For alcoholic fatty liver caused by long-term alcohol consumption, blood lipid testing is equally important, but it is also necessary to evaluate the history of alcohol consumption and the effectiveness of abstinence. Patients with fatty liver should regularly monitor liver function indicators and blood lipid levels, maintain a low-fat and low sugar diet, and control their weight within the normal range. Avoid drinking alcohol and substance abuse, and engage in aerobic exercise appropriately. If the transaminase continues to rise or symptoms such as fatigue and decreased appetite appear, timely medical examination should be sought, and if necessary, liver ultrasound or elastography examination should be performed to evaluate the degree of liver fibrosis.