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What Health Concern Can Lead To Elevated Liver Enzymes?

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Posted on Mon, 22 Aug 2022
Question: Welcome to 'Ask a Doctor'. Please type your question here...
Hello I am a 48 year old female with a history of early breast (2011). I recently started a few new medications in March of 2018 (Lexapro, Lipitor, Baby Asprin and Diltiazem). I also take Arimidex, Synthroid and .25 Xanax at bedtime. My recent lipid panel showed my ALP number is a little elevated, and over a year, by AST and ALT are a little higher:

ALP 128 (86 March 2018, 90 April 2017)
AST 38 (35 March 2018, 18 April 2017)
ALT 37 (39 March 2018, 11 April 2017)

Bilirubin 1.3 ( I have Gilbert's Syndome)
Calcium 10.1 (Has been on higher side since Hysterectomy in 2011)
Total Protein 6.8
Albumin 4.6

Aside from the new medications, I did have 4 alcoholic beverages 5 days prior to the blood test. I would like to understand with my cancer history, or health in general are these numbers concerning? Thank you in advance for your time.

doctor
Answered by Dr. Dr. Esmeralda Sera (1 hour later)
Brief Answer:
Exams

Detailed Answer:

Hello,

Many diseases and conditions can contribute to elevated liver enzymes. In your case this elevation in mine opinion it’s due to the medications that you are using especially Lipitor.

Those results in general are not as high to be concerned

I will suggest you abdominal ultrasound to have a better option about your liver structure and a blood test 1-2 months later

Regards

Above answer was peer-reviewed by : Dr. Raju A.T
doctor
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Follow up: Dr. Dr. Esmeralda Sera (2 hours later)
Thank you for your response. I have had higher liver function tests related to medication before. Can the higher range AST and ALT be from alcohol consumption or strong Asprin?
doctor
Answered by Dr. Dr. Esmeralda Sera (8 hours later)
Brief Answer:
Exams

Detailed Answer:

Hi,

The higher range of ALT and ALT its from alcohol, not from aspirin.

Regards
Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
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Follow up: Dr. Dr. Esmeralda Sera (5 hours later)
Thank you again. Finally, could low calories <1000, low net carb <60, cause raised alkaline phosphate levels or liver enzymes?
doctor
Answered by Dr. Dr. Esmeralda Sera (20 minutes later)
Brief Answer:
Exams

Detailed Answer:

Hi,

No, they could not.

Regards
Note: For further queries related to kidney problems Click here.

Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
Answered by
Dr.
Dr. Dr. Esmeralda Sera

Oncologist

Practicing since :1998

Answered : 1375 Questions

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What Health Concern Can Lead To Elevated Liver Enzymes?

Brief Answer: Exams Detailed Answer: Hello, Many diseases and conditions can contribute to elevated liver enzymes. In your case this elevation in mine opinion it’s due to the medications that you are using especially Lipitor. Those results in general are not as high to be concerned I will suggest you abdominal ultrasound to have a better option about your liver structure and a blood test 1-2 months later Regards