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Thread: Liver tests

  1. #16
    Hormone Replacement Therapy M.D. Dr. Joel Nathan's Avatar
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    Default

    Keep me posted.

  2. #17
    OLYMPIAN PTB's Avatar
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    Well, I got my bloodwork results back.

    My AST, ALT values did drop.... by nearly 40 points each. I took 8 days off from training, plus I took a liver support supplement.

    External factors showed negative across the board, and I satisfied all the major
    risk factors.

    Still, taking inspiration from Jimmy McMillian... "The numbers are too d*** high!!!"

    So, my next course of action is additional bloodwork for hepatitus D (I was negative for B & C), an ultrasound, AND....... a biopsy. Bloodwork has to be within 3 days of the ultrasound/biopsy.

    .... stay tuned.

  3. #18
    Hormone Replacement Therapy M.D. Dr. Joel Nathan's Avatar
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    Default Hep Screening

    Quote Originally Posted by PTB View Post
    Well, I got my bloodwork results back.

    My AST, ALT values did drop.... by nearly 40 points each. I took 8 days off from training, plus I took a liver support supplement.

    External factors showed negative across the board, and I satisfied all the major
    risk factors.

    Still, taking inspiration from Jimmy McMillian... "The numbers are too d*** high!!!"

    So, my next course of action is additional bloodwork for hepatitus D (I was negative for B & C), an ultrasound, AND....... a biopsy. Bloodwork has to be within 3 days of the ultrasound/biopsy.

    .... stay tuned.
    There is also Hepatitis A, you may want to ask your health care provider to let you know your status on that.

  4. #19
    OLYMPIAN PTB's Avatar
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    I think I was negative on that one also, but I'll check.................. please don't tell me there's a 'Z' out there? They could milk me for a loong time!

    Thanks for followiing up doc!!

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    OLYMPIAN PTB's Avatar
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    ** Update ***

    Went for Ultrasound and Biopsy, however, the radiology lab would not do the two together, so I just got the Ultrasound done. The results were negative, although it did report an enlarged bile duct.

    I also just got bloodwork done for Hep A and D. I'm awaiting the results of those.

    Followed up with doctor today, and he's still taking a conservative approach. He's looking at the biopsy as a last result, and his opinion, all the numbers are asymptomatic.

    *** However, he does want an MRI done after the ultrasound.

    So in short, the search continues, with very little found, and more money spent. So far, $90 for co-pays at the doctor's office, with another $30 next month for the followup to the MRI.

    That's a lot of protein money right there, lol!!!

  6. #21
    Hormone Replacement Therapy M.D. Dr. Joel Nathan's Avatar
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    Default Why is the search still going on?

    Why not just wait 3 months and re-draw the liver tests? If still high then continue this investigation.

  7. #22
    OLYMPIAN PTB's Avatar
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    Update:

    Hep A and D results were negative.

    Went for MRCP on 1/11. The results of those were negative.

    Had additional bloodwork drawn on 1/19. The liver enzymes levels are still high.

    Next course of action IS the liver biopsy

    Why not just wait 3 months and re-draw the liver tests? If still high then continue this investigation.
    Well, it's been about 3 months. I had the initial tests done back in early October, and now it's mid January.

  8. #23
    Hormone Replacement Therapy M.D. Dr. Joel Nathan's Avatar
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    Default LiVer bx

    Quote Originally Posted by PTB View Post
    Update:

    Hep A and D results were negative.

    Went for MRCP on 1/11. The results of those were negative.

    Had additional bloodwork drawn on 1/19. The liver enzymes levels are still high.

    Next course of action IS the liver biopsy



    Well, it's been about 3 months. I had the initial tests done back in early October, and now it's mid January.
    It's a slow process finding out exactly what's causing the elevated LFTs. It's good to have an action plan, as you do.

  9. #24
    Team Provo, Chem Moderator Provo82's Avatar
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    Quote Originally Posted by PTB View Post
    Well I just got mine back from my annual physical.

    Last year, my AST (SGOT) was 58 and ALT(SGPT) was 90

    This year, they were 103 and 230 respectively.

    The bloodwork was taken again this week and they were still higher,
    but I've not gotten them yet. My doctor is telling me to see a specialist.

    I've NEVER juiced, nor been on any cycle.

    I've basically followed the same dietary plan since last year. The only thing I've done within the last few months was change my training style to H.I.T.

    I'll be making that appointment next week. Any recommendations for specialists in Central, NJ?
    yes i do have a specialist i went to in central jersey. hes in woodbridge his name is dr, michael hymanson. Now hes not privy to bodybuilders but hes not exactly gonna freak outon you either. hes gonna run a full hepatitis panel on you and a few other basic tests.

  10. #25
    Team Provo, Chem Moderator Provo82's Avatar
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    also to be honest my liver enzymes are always high even if i havent taken anything in 6 months. the only time i had liver enzymes that were normal was when i didnt train for 1 whole week then got a blood test. liv52 does help some but the muscle damage from training seems to cause a false high on the test even thought very few doctors will admit or acknowledge it. good luck and let us know if u need anything else.

  11. #26
    OLYMPIAN PTB's Avatar
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    Update:

    Had my liver biopsy on 3/9........... That's a long needle!!

    Doctor's office called today and they want to see me on 3/28. They said the noticed some inflamation.

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    Quote Originally Posted by PTB View Post
    Update:

    Had my liver biopsy on 3/9........... That's a long needle!!

    Doctor's office called today and they want to see me on 3/28. They said the noticed some inflamation.
    Wondering what the doc said for the inflamation, so what's gonna be the next step? Hope you'll be OK!

  13. #28
    Hormone Replacement Therapy M.D. Dr. Joel Nathan's Avatar
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    Default Follow up

    Quote Originally Posted by PTB View Post
    Update:

    Had my liver biopsy on 3/9........... That's a long needle!!

    Doctor's office called today and they want to see me on 3/28. They said the noticed some inflamation.
    If you want to PM me, feel free.
    Joel Nathan, MD

  14. #29
    OLYMPIAN PTB's Avatar
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    Next step...... My doctor is thinking it may be Wilson's disease.

    I'm going for 2 more tests - 1.) a 24hr urine test for copper levels, even though previous bloodwork tests shows copper levels normal

    2.) An eye exam to check for Kayser-Fleischer rings around the iris, which is considered a symptom for those who have the disease.

    I figured I'm due for eye exam anyway, and I just did the urine, which is non-evasive. So we'll see where we are in a few weeks.
    Last edited by PTB; 04-14-2011 at 12:53 PM.

  15. #30
    Hormone Replacement Therapy M.D. Dr. Joel Nathan's Avatar
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    Default Yes, it's frustrating waiting to hear about a test,

    Quote Originally Posted by PTB View Post
    Next step...... My doctor is thinking it may be Wilson's disease.

    I'm going for 2 more tests - 1.) a 24hr urine test for copper levels, even though previous bloodwork tests shows copper levels normal

    2.) An eye exam to check for Kayser-Fleischer rings around the iris, which is considered a symptom for those who have the disease.

    I figured I'm due for eye exam anyway, and I just did the urine, which is non-evasive. So we'll see where we are in a few weeks.
    You're doing the right stuff.

    I'd focus on the positive fact that you're feeling well.
    Stay eating a clean diet, get enough rest and decrease stress by decreasing your worry.
    Dr. Nathan

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