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Hello. I'm Dr. Phil, licensed and practicing internist. Excellent service is my goal.
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Hi I'm Dr. Phil
Can i ask your first name?
nice to meet you
Yes, it is possible that the levels can go back up slightly
that is possible
The levels went up very significantly however eg the GGt went up to 402 APhos up to 319 and ALT to 275
Okay this is what they are now?
or what they were at the highest level?
highest level or now?
it's one or the other
that is very high
I suspect they may have misdiagnosed you
you might have another condition
like autoimmune hepatitis or something else
you need to see a hepatologist
Is there any cure for autoimmune hepatitis if that is what it is. Also why do I not feel worse My appetite is fine and I have reasonable energy level
That is good
it still might be just a drug injury
However, the levels are pretty high
there is treatment but no cure
What kind of treatment is there
If it is a drug related injury can levels fluctuate for a period of time and if so how many months might we be talking about
yes they can
This can occur for a couple months but I wouldn't expect longer
When you say couple 4 or 6 altogether? so far its three weeks when the elevations started again, I'm due for another test day after tomorrow
I would say 2 months
I have had one biopsy so far which went ok and I think at the time yielded the result for my specialist that baked up her diagnosis. Is it likely that I would have to have another of these if my enzymes continue to be elevated?
I didn't know about the biopsy
In that case, I am confident your specialist is correct
I don't think you have something else
given the biopsy
OK so these elevations might still be as a result of the original diagnosis which may be causing the liver enzymes to elevate in a fluctuating manner. I say fluctuate because the particular enzymes I refer to did go back to normal.
Yes, I think they probably are
So I should not worry too much for another 5weeks approx.?
No I would not worry
it sounds like your specialist is on top of it
My situation is that I am being monitored by my GP and was not due to see the specialist for another month or so. The GP is worried and that is why he is testing me again next week. The specialist does not yet know of this development and cannot be contacted until next week so this is why I am contacting you. I guess I should contact her as soon as I can ?
yes you should
but your levels are not criticl
it is okay to keep an eye on them
you're welcome :)
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if you have more questions, I"m happy to help