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Are deranged liver function test results and moderately elevated total and unconjugated bilirubin values a concern?

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Posted on 2 days ago
Question: hi doctor I am attaching my health check report. Pls let me know. 1. what are risk items in this. 2. How critical are these. 3. what preventive measures and medicine should I start 4. what is overall condition. 5. should i go for some other tests? I am vegetarian but do drink 4 to 5 times in a week.
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Answered by Dr. Prasad (27 hours later)
Brief Answer:
Normal...

Detailed Answer:
Hi,

The three reports attached here are normal. There is no alarming features that you need to be concerned about. If you are absolutely normal without any medical complaints, I don't think there is a need for any specific tests. If you have any problems, let me know and I can refer other tests if needed.

Hope this answered your questions. Let me know if I missed any.

Regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Follow up: Dr. Prasad (6 hours later)
Ok I will mail complete report.
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Answered by Dr. Prasad (18 hours later)
Brief Answer:
Deranged liver functions...

Detailed Answer:
Hi,

Thanks for providing details. I went through them with diligence. Now, all the reports are unremarkable except for three significant findings:

1. Deranged liver function tests. There is moderately elevated total and unconjugated bilirubin values. This kind of change is seen with an enzyme deficiency, the enzyme which metabolizes bilirubin It won't cause you any trouble. However besides bilirubin values, the liver enzymes ALT, SGPT as well as SGOT are also raised.
You should consider consulting a gastroenterologist who can evaluate further. In then meantime, avoid taking unnecessary medications and alcohol if any.

2. Vitamin D deficiency. Vitamin D deficiency is very common in Indian's. It doesn't cause immediate health concerns. However over a period of time it might affect bones. I would start vitamin D correction. Supplement like D rise 60000 IU once a week for 6 weeks will benefit you. Discuss with your treating doctor.

3. Elevated homocysteine value. It risks you to atherosclerosis, strokes and cardiovascular conditions if unattended. Starting folic acid supplements is helpful in lowering homocysteine values. Discuss it with your doctor.

Besides these 3 all other parameters are unremarkable.

Hope this helps. Let me know if you need clarifications.

Regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Dr. Prasad

General & Family Physician

Practicing since :2005

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Are deranged liver function test results and moderately elevated total and unconjugated bilirubin values a concern?

Brief Answer: Normal... Detailed Answer: Hi, The three reports attached here are normal. There is no alarming features that you need to be concerned about. If you are absolutely normal without any medical complaints, I don't think there is a need for any specific tests. If you have any problems, let me know and I can refer other tests if needed. Hope this answered your questions. Let me know if I missed any. Regards