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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How can elevated liver enzymes and a bad lipid profile be made better while experiencing viral fever?

Hi. I got a mild viral fever recently, lasted about three weeks. Got dehydrated. Now I m fine. But during tests, we noticed elevated liver enzymes and got a bad lipid profile. So we did further tests. Following are the results (I left out some that were in normal range to keep this as short as possible). What is wrong with me? Abdominal ultrasound NORMAL Fasting blood sugar 97 mg/dL LIPID PROFILE Total cholesterol 178 mg/dL Triglycerides 373 mg/dL HDL cholesterol 16 mg/dL LDL / HDL 5.69 Total cholesterol / HDL ratio 1113 LDL 91 mg/dL VLDL 74.60 mg/dL Glycosulate Hb 4.7% Serum bilirubin - total 0.70 mg/dL Serum bilirubin - direct 0.30 mg/dL SGPT/ALT 269.00 U/L SGOT/AST 136.00 U/L Alkaline phosphate 165.00 U/L GGT 225.00 U/L TSH 2.3737 mlU/L Free T4 16.96 pmoI/L Free T3 3.23 pmoI/L CK 33.00 U/L CK-MB 18.00 U/L Troponin-I 0.0000 ng/mL BLOOD PICTURE Mean corpuscular volume 85.3 fL Mean corpuscular hemoglobin 26.1 pg Mean corpuscular hemoglobin concentration 30.6 g/dL RDW-CV 14.6% Platelet count 330 10*3/uL White blood cell count 1104 10*3/uL Neutrophil count 29.4% Lymphocytes (DC) 64.0% Immature granulocyte 0.7% Absolute lymphocyte count (ALC) 7.07 10*3/uL Absolute basophil count (ABC) 0.06 10*3/uL HBsAg ELISA / Chemiluminescence 0.19 S/CO HCV ELISA 0.06 S/CO BUN 6.00 mg/dL Urea 12.84 mg/dL(A)
Tue, 30 Jul 2019
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General & Family Physician 's  Response
Hi,

Please note that during any infection or illness, all lab values are disturbed due to disease or drugs being taken. These values will normalize.

As you suffered for 3 weeks, let the values settle. If you are so worried, get repeat test after one month, these will come down. This is what I recommend to my patients when patients recover from some acute illness.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Varinder Joshi, General & Family Physician
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