ALT is high. Can this be cleared quick enough?

It depends on how high your ALT is and why. I agree with your surgeon that it is best to have this cleared by your PCP to rule out any major cause of this elevated enzyme. Surgery has risks and you want to make sure that you perform this elective surgery safely. Don't stress and let your doctors make sure you are safe to undergo the procedure. Good luck. 

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Hello dear, thanks for your question and provided information as well... I recommend you to get to your board certified plastic surgeon with your labs, because sometimes the results may vary, and when we talk about ALT which are reasonably sensitive indicators of liver damage or injury from different types of diseases or conditions, you have to clear this up with your doctor first.