Alanine aminotransferase 200, the two pairs and a half test has three "+", what does it mean

Patient's question:

The liver function test showed an ALT level of 200. Additional tests for the hepatitis B virus (HBV) markers were conducted, with the following results: HBsAg 0.35 S/CO - HBsAb 706 mIU/ml + HBeAg 0.22 S/CO - HBeAb 22.2 CO/S + HBcAb-lgM 0.06 S/CO - Pre-S1 antigen negative.
Could the experts please interpret these test results? My tests for hepatitis A and hepatitis E were both negative. A B examination revealed mild fatty liver infiltration.

Doctor's answer:

Hello! According to your test report, you have previously been infected with the hepatitis B virus and have now recovered, developing immunity to it. Currently, the virus is relatively stable!! It is estimated that your elevated liver enzymes are related to fatty liver disease!! (There are many causes of fatty liver disease, primarily due to a high-fat, high-sugar diet leading to obesity, which then results in fatty liver. Many metabolic diseases, such as diabetes, hypothyroidism or hyperthyroidism, galactosemia, glycogen storage disease, and chronic hepatitis, alcoholism, etc., can also trigger fatty liver. Fatty liver is a reversible condition before it progresses to cirrhosis. As long as the underlying cause is addressed, fat accumulation in the liver can be completely resolved, with a good prognosis. A balanced diet is key to preventing and treating fatty liver disease. You should limit high-fat, high-sugar diets, avoid or reduce alcohol consumption, and eat less fried foods, animal organs, and egg yolks. Instead, consume more fresh vegetables, tofu, lean meat, fish, shrimp, and fruits. While adopting a balanced diet, it is also important to manage weight and increase physical activity.)

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