Thank you for your question regarding ALT levels before your tummy tuck and BBL combo. ALT (alanine aminotransferase) is an enzyme that reflects liver function, and elevated levels can sometimes indicate liver stress or inflammation. An ALT level of 34 is considered only slightly elevated, but it’s essential to understand what may be causing the increase. Here’s what you should know and consider: Potential Causes: A mild ALT elevation can occur for various reasons, including recent use of medications, alcohol intake, a fatty liver, or even exercise. In many cases, slight elevations are temporary. Surgical Clearance: Your surgeon will want to ensure that your liver is functioning optimally before surgery, as a healthy liver is essential for managing the anesthesia and medications involved in the procedure. Slight elevations often don’t pose a significant concern, but it’s ultimately up to your surgeon and anesthesiologist to determine safety. Ways to Lower ALT Levels: Avoid Alcohol: Eliminate alcohol in the days leading up to surgery to reduce liver strain. Stay Hydrated: Drinking plenty of water supports liver function. Minimize Medications and Supplements: Some can affect the liver, so discuss these with your surgeon. Eat a Liver-Friendly Diet: Consider foods like leafy greens, beets, and antioxidant-rich fruits to support liver health. Follow-Up: Check with your healthcare provider to monitor your ALT levels before your surgery date. With a mild elevation, it’s likely you’ll still be cleared, but it’s essential to stay informed. Wishing you a smooth process toward surgery! Sincerely, Dr. Katzen