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What Do My Liver Test Results Indicate?

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Posted on Thu, 19 Feb 2015
Question: Hello Doctor,
I have been a little worried about my ALT and AST Numbers. My AST is at 78 and my ALT is at 89. I was tested a few months ago and they were: AST: 59 and ALT: 81. The doctor had me go get an ultra sound and the results showed my liver was very slightly enlarged and considered a bit of a Fatty Liver. My diet is pretty normal. Egg Whites in the morning, usually sandwich or protein shake for lunch, and for dinner i usually have fish or chicken or pasta; pretty standard. I drink a little on the weekends, usually 2-3 drinks tops. I smoke marijuana at night every so often. I exercise 3-4 times a week.
Is this something I should be worried about? I heard Niacin helps with this? my current medications are: atenolol 25 MG daily and lipitor 10 mg every other day. I take daily mens vitamins, B12, Fish Oil, B1, C and Biotin Daily.
Thanks.
doctor
Answered by Dr. Dr. Klerida Shehu (59 minutes later)
Brief Answer:
High liver enzymes due to Lipitor...

Detailed Answer:
Hi,

I have gone through your medical history carefully and understood your concerns.

First, I need to know when did you start taking Lipitor : prior to notice the high enzymes levels or after?

Next, from what you are describing, your high transaminases might be due to Lipitor use. Another possible causes are fatty liver and alcohol use.

For the moment, I advise to:
- take vit.E and silymarin
- and to discuss with your doctor to change therapy with Lipitor.

All the best!
Dr.Klerida
Above answer was peer-reviewed by : Dr. Prasad
doctor
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Follow up: Dr. Dr. Klerida Shehu (39 minutes later)
Hello,
I just started my lipitor after the first exam due to high levels of "bad" cholesterol. The doctor actually wanted me to wait until after the ultra sound to see if the "status" of the liver. after the ultra sound cleared and found out it was fatty liver he prescribed me the lipitor which has brought down the bad cholesterol levels and are now normal. But now that i am on the lipitor it looks like the elevations climbed up a bit.
I drink mildly once a week maybe once every 2 weeks.
So start taking Vitamin E? and silymarin? not sure what silymarin is... any thing else?
doctor
Answered by Dr. Dr. Klerida Shehu (1 hour later)
Brief Answer:
Stop drinking alcohol(even in small portions);vit.E/milk thistle extract..

Detailed Answer:
Hi back,

Ok, then, from what you are describing, altogether fatty liver, alcohol use and Lipitor have contributed in increased liver enzymes levels.

Now, at this point, I highly recommend to:
- stop drinking alcohol
- take vitamin E at a dosage of f 800 IU. It is a good anti-oxidant and help non-diabetic people with fatty liver to improve liver function test.
- Silymarin which is the extract of the milk thistle seeds which has been shown effective in liver diseases including fatty liver.

As mentioned earlier, you should be talking with your doctor to stop using Lipitor or any other statin drug and to start any other cholesterol lowering medication.

Hope it was of help!
Dr.Klerida
Note: For further follow up on digestive issues share your reports here and Click here.

Above answer was peer-reviewed by : Dr. Prasad
doctor
Answered by
Dr.
Dr. Dr. Klerida Shehu

Gastroenterologist

Practicing since :2006

Answered : 2266 Questions

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What Do My Liver Test Results Indicate?

Brief Answer: High liver enzymes due to Lipitor... Detailed Answer: Hi, I have gone through your medical history carefully and understood your concerns. First, I need to know when did you start taking Lipitor : prior to notice the high enzymes levels or after? Next, from what you are describing, your high transaminases might be due to Lipitor use. Another possible causes are fatty liver and alcohol use. For the moment, I advise to: - take vit.E and silymarin - and to discuss with your doctor to change therapy with Lipitor. All the best! Dr.Klerida