What do my lab test results indicate?
nothing more you can do besides investigation
i don't know why your doctor does not believe that it's the drugs because both of your drugs may cause liver enzyme elevation. Actually almost any drug may do that but some drugs do so more often than others. If you've done all the necessary tests and everything is negative then only a biopsy might help diagnostically. Since you don't have any problems (symptoms or serious enzyme disorders) perhaps the biopsy is not the best choice right now.
Make sure that your doctor has tested you for causes like Wilson's disease, hemochromatosis, celiac disease, OTC drugs or supplements, etc for which the patients may -sometimes- not be tested. If everything has been investigated completely then it has to be the drugs.
Mild elevations (less than three times the higher normal limit) are acceptable if the drug is considered effective. Higher elevations constitute a good reason to seek alternatives. You can't do anything more besides investigating for the cause. When the cause has been identified, specific treatment can be given.
I hope you find my comments helpful!
You can contact me again, if you'd like any clarification or further information.
not familiar but they're not documented treatment options
I'm not familiar with them but I can assure you that none of them is a documented treatment option for any disease. NAC may help liver metabolism and milk thistle is supposed to help with liver problems but their effects have not been tested (at least not adequately). I do believe it's the drugs that caused this elevation...
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