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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Proper Dosage Of Accutane

My 14 y/9 son had his initial lab work prior to starting Accutane. His total bilirubin is elevated at 2.1 and his AST is low at 13, absolute monos slightly high at 0.92. Could you tell me what this might mean and should he start the Accutane or not? He was also known to have an elevated bilirubin at birth, does this mean anything?
Wed, 9 Nov 2016
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Gastroenterologist 's  Response
hi,
thanks for posting query at HCM.

Total bilirubin is slightly elevated . Nothing to worry if his skin and sclera appear normal. You may recheck bilirubin after couple to few weeks. Bilirubin at birth is high till 6th day. its Physiologic.
Secondly, AST is NORMAL at 13, its not low. No harm to start accutane provided its prescribed by a health practitioner.

hope to answer your concern
regards
DR Tayyab Malik
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Suggest Proper Dosage Of Accutane

hi, thanks for posting query at HCM. Total bilirubin is slightly elevated . Nothing to worry if his skin and sclera appear normal. You may recheck bilirubin after couple to few weeks. Bilirubin at birth is high till 6th day. its Physiologic. Secondly, AST is NORMAL at 13, its not low. No harm to start accutane provided its prescribed by a health practitioner. hope to answer your concern regards DR Tayyab Malik