What do these lab reports indicate?
I have been taking propecia for years, and binge drinking 1 night every 2 weeks (10 to 12 drinks per night) for the last 2 years. I am 36, 179cm and 96kg, athletic. In December I was prescribed 10 days on ciprofloxacin 500mg, twice a day. I quitted propecia at the beginning of December, and I had a big night out the 23rd of December. I have been on a high protein low carbon diet for quite a while. On January 2nd I had a complete blood test with the following abnormal results:
Folic Acid by ECLIA 2.7 * ng/ml [ 3.89 - 26.8 ]
Albumin 5.2 * g/dl [ 4 - 5.2 ]
GOT ( AST ) 48 * UI/L 37ºC [ 0 - 37 ]
GPT ( ALT ) 71 * UI/L 37ºC [ 0 - 41 ]
Every other test result was within normal ranges, mostly in mid range. I was also tested for hepatitis A,B and C getting negative results, also HEp2 was negative. Protombine INR is 1. I believe they also tested my tumour markers, I don't know which are those, but as I indicated, everything else is within range or negative. I have tried to research on the meaning of my results, but I can't figure out anything. Please help.
Normal report no clinical significance.
Thanks for choosing HealthcareMagic for your query my dear patient,
Have seen your reports,
For liver functions to have any clinical importance they should be elevated atleast 3 times the upper normal value.
Less then three times elevation in a a symptomatic patient has no clinical significance.
Mild elevation is seen in patients who use to take alcohol or medicines as they are metabolised by liver only.
Out of the four only folic acid is bit on a lower side(mild significance) you can take flovite(folic acid supplement) 5 mg once daily for 10 days.
Rest all three have no clinical relevance.
Hope i was helpful.
Please feel free to follow up.
Thank you so much for your answer. Just to close up the discussion, should I quit propecia due to its impact on the liver function in the long term?
Is my high protein diet also impacting the liver function, throwing high albumin results and low folic acid? should I change it and eat more veggies and fruit? What is the highest amount of protein per day recommended for an active male? I have been eating a lot of red meat, maybe 300 to 500gr per day, plus chicken, eggs, etc..and low carbs.
Thank you so much.
Follow up answer.
Definitely yes body building diet(high protein diet) usually elevates liver functions.I would suggest you to take milk of thistle daily.
Make a balance between carbs fats and proteins.
If you are a noral person protein intake should never be more then 0.5 gram/lbs.
Fruits and veggies are a boon to mankind filled with minerals vitamins etc.
If you are into serious body building 1gram/lbs other wise at the XXXXXXX 0.5gram/lbs.
Don't eat red meat it would make your cholestrol and other fats deranged.
Take carbs with high glycemic index like oat brown rice etc.
Fruits like gauava apple plum orange etc
Dear patient why are you on finasteride?
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