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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest treatment for high liver enzymes after accident

I ve been a type1 diabetic since I was 7. I m now 50. My blood sugar control has been good,but I was in an auto accident 8 years ago. I had chronic fatigue just weeks after the accident. Many tests were done, but nothing significant was found. i have had high liver enzymes since the accident, but a biopsy showed no disease. Doctors said, Just live with it. This year i went to an osteopath, who immediately noticed my liver was congested and had structural damage. Even though my hemoglobin A1C tests have been in the mid 6 s, when i get low, my blood sugar will sometimes spike after just 5-10 grams of carbohydrates. other times I m still low after 25 grams of carbohydrates. This happens 1-2 times a week, with no triggers I can anticipate. In talking with a diabetes educator, I learned that this was probably a function of my liver being off. Is there any way I can anticipate how my liver will release sugar, or is it simply a guess and check process? I m going to a new endocrinologist next week. I take milk thistle for my liver, do liver massages and pumps my osteopath taught me, and also use creams and clay for liver support. Is there anything else you can suggest to balance my blood sugar as I get my liver healed? How long does this generally take to get a liver fully functional with enzmes in normal range? Thank you, Jayne
Sat, 19 Sep 2020
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General & Family Physician 's  Response
Hi,

Allow me to be straightforward. A liver cannot be “congested”, this is anatomically impossible. Structural damage is possible, but you would only see it in high-end contrast enhanced sonography, MRI or some types of CT or PET scans. Could it be that you have been taking pain medication since your accident? Many of them, especially acetaminophen/paracetamol cause elevated enzymes.

Therefore I strongly recommend that you see a hepatologist. That’s an gastroenterologist who’s specialized in liver diseases. As much as I understand that you trust your osteopath, trust me in this matter.

Take care. Hope I have answered your question. Let me know if I can assist you further.

Regards,
Dr. Alexander Davis, General & Family Physician
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Suggest treatment for high liver enzymes after accident

Hi, Allow me to be straightforward. A liver cannot be “congested”, this is anatomically impossible. Structural damage is possible, but you would only see it in high-end contrast enhanced sonography, MRI or some types of CT or PET scans. Could it be that you have been taking pain medication since your accident? Many of them, especially acetaminophen/paracetamol cause elevated enzymes. Therefore I strongly recommend that you see a hepatologist. That’s an gastroenterologist who’s specialized in liver diseases. As much as I understand that you trust your osteopath, trust me in this matter. Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Alexander Davis, General & Family Physician