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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Elevated Liver Enzymes

My husband had elevated liver enzymes app 4 years ago, his dr at the time thought related to taking Chantix. After the med was discontinued, levels were followed a few times, they were trending down so his dr said not to monitor the levels any more. He had levels drawn again this week and his ALT was 112, AST 46. How concerning is this?
Tue, 28 Jul 2015
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Gastroenterologist 's  Response
hi,
elevated enzymes specially we need to think first is Hepatitis B and C, and we need to think of fatty liver too ,IF they ARE NORMAL THEN THINK OF WILSONS DISEASE WORK UP WITH SERUM CERULOPLASMIN ,24 HOUR URINARY COPPER AND AN OPTHALMOLOGY OPINION to rule out ''K F Ring'' by slit lamp examination.
Even this turns out to be normal last option would be autoimmune work up accordingly.
thank you
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Suggest Treatment For Elevated Liver Enzymes

hi, elevated enzymes specially we need to think first is Hepatitis B and C, and we need to think of fatty liver too ,IF they ARE NORMAL THEN THINK OF WILSONS DISEASE WORK UP WITH SERUM CERULOPLASMIN ,24 HOUR URINARY COPPER AND AN OPTHALMOLOGY OPINION to rule out K F Ring by slit lamp examination. Even this turns out to be normal last option would be autoimmune work up accordingly. thank you