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How long do liver enzymes take to normalise while on healthy diet?

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Posted on Wed, 18 May 2016
Question: Dr. XXXXXXX Bernie-Durnbaugh

Wouldnt the 4 weeks of being healthy not drop my enzyme numbers?? So ive read that something likes acute hepatitis takes place more over time nout as quickly. So are the only 2 options relating to the liver hepatitis or inflamed fattly liver?

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Answered by Dr. Bonnie Berger-Durnbaugh (37 minutes later)
Brief Answer:
It can take from 1-3 months for the liver enzymes to go back down.

Detailed Answer:
Liver enzymes will go down but it can take more than 1 month and depends on a person's own rate of liver regeneration.

Yes, I think this is probably still a temporarily angry fatty liver.

The question is, how will you prevent a relapse? Because that is a more important factor for your long term liver-health. I think you might benefit from a program or group to help you or this could be a repeating process. My guess is those 5 days you went off the wagon could crop up again under times of duress or temptation unless there is a rock solid plan and support.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Follow up: Dr. Bonnie Berger-Durnbaugh (6 minutes later)
I agree that is something i really need to think about it. For the most part ive always been a funtional drinker which is probably not good.

I hope youre right. Im pretty concerned at this point. After 1 day of losing appetite i wasnt concerned, now going on 4 days and only a half of a bananna all day today. Can fatty liver cause this?? And to go on this long?? If it is the worst casr there are potential options, yes?
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Answered by Dr. Bonnie Berger-Durnbaugh (18 minutes later)
Brief Answer:
Plan:

Detailed Answer:
If you aren't starting to feel better tomorrow, then let's plan for you to call your doctor. If your doctor can't get you in soon, then you should go to an urgent care clinic. There a doctor can feel over your live and get a CBC and liver enzymes and you will have a better idea of what is going on.

It could all be from alcohol, but if it were the cause of all your symptoms, I would expect that you would also have vomiting and jaundice. I am not saying the alcohol isn't playing a significant part here, but your symptoms may also be partly a stomach virus since you had diarrhea at one part too.

So call tomorrow and see where you can get in to be seen and then you will have more specific information for us to go on.

Do try to maintain your hydration with water and soup broths, juice, or you will feel sicker from dehydration and hypoglycemia too. Please let me know how you are doing after you are seen. Good luck and I hope you are feeling better tomorrow.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Follow up: Dr. Bonnie Berger-Durnbaugh (20 hours later)
AST 42 ALT 46
ALK 56 Alb 4.5

Here are my latest numbers. Still a little high but definitely improving. You were right though. Funny i still have those symptoms but im sure they will go away. Thanks again for all of tour help!
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Answered by Dr. Bonnie Berger-Durnbaugh (2 hours later)
Brief Answer:
Pretty good!

Detailed Answer:
Well I'm sure that is a relief for you! Me too!

Now you have a task ahead, even if you were mostly a functional drinker, and that is to have a plan for when you would really like to have a drink.

I think you will start to feel better in the next several days.

Best regards and have a good night,
Bonnie Berger-Durnbaugh, MD
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Dr. Bonnie Berger-Durnbaugh

General & Family Physician

Practicing since :1991

Answered : 3134 Questions

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How long do liver enzymes take to normalise while on healthy diet?

Brief Answer: It can take from 1-3 months for the liver enzymes to go back down. Detailed Answer: Liver enzymes will go down but it can take more than 1 month and depends on a person's own rate of liver regeneration. Yes, I think this is probably still a temporarily angry fatty liver. The question is, how will you prevent a relapse? Because that is a more important factor for your long term liver-health. I think you might benefit from a program or group to help you or this could be a repeating process. My guess is those 5 days you went off the wagon could crop up again under times of duress or temptation unless there is a rock solid plan and support.