Elevated Liver Enzymes, Consuming Alcohol, Gout Attacks. On Allopurinol Medication. Cause For Rise In SGPT Levels Inspite Of Reducing Alcohol ?
I shall make an effort to provide you with good professional recommendations specific to your questions.
1. So if it's not alcohol then why the rise?
SGPT levels are elevated by liver injury, hepatitis and other conditions. Even drugs like anti-inflammatory drugs, antibiotics, cholesterol medications and anti-convulsants.
Yes, your fenofibrate can increase SGPT levels, also your mild fatty liver and mild inflammation of liver.
2. allopurinol 200mg daily - could this be the cause?
No. It is quite safe on the liver.
Your present levels of 88 SGPT is not a really high alarming rise. So, do not be concerned now.
Yes, you can take fish/silymarin/milk thistle for the liver.
I would advise you to continue medications especially to set your cholesterol levels right, and then SGPT can be monitored if really increasing further.
Yet again, I duly appreciate your query to me, I do hope that you have found something useful to help you and I shall be glad to answer any further apprehensions.
A few follow-up questions:
1. Would you accept that SGPT could be high because of Cholesterol and Trigclycerides?
2. Do you really think it's necessary for me to take Supralip NT 145 given my current cholesterol levels or would you recommend trying to change diet first?
3. Would plant-based Phytosterol be as effective as Supralip?
3. If I were to take the Supralip when would I be able to come off of the medicine?
4. How long before I can observe a change in cholesterol from diet and/or medication?
Thank you for writing back.
2. Yes, Fenofibrate is necessary to reduce your current levels.
3. Phytosterols are currently supplementary, not alternative to fenofibrate.
4. No definite period. It depends on your response, and response varies with everyone.
5. Lipid profile tests are usually recommended every 3-6 months. Usually the initial change is lesser, but when starts to dip, then it is more visible.
Let me know if you have further queries.
Wishing you good health.