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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Elevated Levels Of Triglycerides And Liver Readings?

I had blood and urine lab work and 6 markers all relating to my liver or kidney were off, but only in urine. I m 5 7 120 and a pro health person. no smoking, drinking, caffeine, coffee and no added sugar to diet. my results: (out of control????) triglycerides 227 (10-150 range) Protein 41 (0-30 range) Hemoglobin scree - positive (negative range) Mircroalbumin 17.3 (0-3) Microalbumin/Creatinine ratio 76.5 (0-30 range) Total Bilirubin 2.2 (0.2-1.2 range) Rest of the results: (all in normal range) Cholesterol 181 (140-199) HDL 58 (35-100) LDL 77 (0-129) Cholesterol HDL ratio 3.1 (0-4.99) LDL/HDL ratio 1.34 (0.6-4.3) BUN 17 (7-22) Creatinine 0.8 (0.6-1.2) Urine PH 5.2 WBC 2 (0-9) Urine Creatine 225.9 (27-260.0) Protein creatine ratio 0.18 (0-.20) Total protein 6.7 (6.1-8.2) Albumin 4.2 (3.8-5.2) Globulin 2.5 (2.1-3.5) AST 20 (12-35) ALT 18 (9-42) GGT 17 (10-65) I don t understand how my triglycerides is so high and other liver readings are high but most liver enzyme levels are fine. I m not over weight, I don t drink, I wear a fitbit and do over 6 miles a day.
Wed, 30 Mar 2016
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General & Family Physician,  's  Response
Hello dear
Understand your concern.
Your triglyceride level is high suggest hypertriglyceridemia.
Your Billirubin is high, suggest mild liver damage.
Microalbumin : high suggest, glomerular damage.

Following are the reason:

Hypertriglyceridemia and microalbuminuria may be present in Nephrotic syndrome.
Microalbumin in urine present in glomerular damage due to diabetes melitus, hypertension and kidney disease.
Billirubin high in liver damage.
Repeat test after 5-7 days for billirubin as liver enzyme is normal.

Hypertriglyceridemia occur may be due to, if you did not get 10-13 hour fasting sample.
Always do lipid profile after 10-13 hours of fasting. Without intake of high fatty food.
Repeat after 7-10 days
Also test for blood Glucose, hypertension, Hb1Ac.

Hope this may help you.
Best regards
Dr. Sagar
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What Causes Elevated Levels Of Triglycerides And Liver Readings?

Hello dear Understand your concern. Your triglyceride level is high suggest hypertriglyceridemia. Your Billirubin is high, suggest mild liver damage. Microalbumin : high suggest, glomerular damage. Following are the reason: Hypertriglyceridemia and microalbuminuria may be present in Nephrotic syndrome. Microalbumin in urine present in glomerular damage due to diabetes melitus, hypertension and kidney disease. Billirubin high in liver damage. Repeat test after 5-7 days for billirubin as liver enzyme is normal. Hypertriglyceridemia occur may be due to, if you did not get 10-13 hour fasting sample. Always do lipid profile after 10-13 hours of fasting. Without intake of high fatty food. Repeat after 7-10 days Also test for blood Glucose, hypertension, Hb1Ac. Hope this may help you. Best regards Dr. Sagar