An ALT of
53 is only mildly elevated, and
may be associated with the alcohol. However, in these cases, the AST is normally elevated higher than the ALT.
I agree with abstaining from alcohol, and
to further evaluation, an abdominal ultrasound can be done to exclude other liver
If the tests remain negative, serial monitoring of
enzymes should be done to ensure they are not rising.
These options can be discussed with your personal physician.