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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does My Lab Test Report Indicate?

I have lab reports indicating liver problems. My Hep tests are normal, I have generalized and partial complex epilepsy, but my nuerologist states that I am not taking any epilepsy control meds that affect liver function. I have diabetes type 2, and pernicious anemia, along with D and other deficiency and malabsorption issues. My results are indicating some bad numbers, and I feel that I am not getting answers. EGFR - 9.4 Calculated serum osmalality - 305 Globulin -3.6 Alb/glob ratio- 0.9 ASGOT/AST -51 SGPT/ALT- 75 A1c-8.5, was 6.0 3 months prior No diet change, no medication change other than increasing my lantus because of glucose increase. Was being prescribed D2, but I stopped the RX after research showing D3 should be taken instead because of toxicity. But has been stopped for 3 months. D levels have consistently remained low even with either types of D. I was wondering what the combination of these liver results indicate, as I consistently see liver disease when researching separately. I m trying not to get upset over these results, or what I think they may indicate, but I am not getting answers from my primary Doctor, or my nuerologist. I have stopped all supliments because my nuerologist feels they could be the issue, yet D is the only one not water soluble, and it continues to be low.
Wed, 25 Sep 2019
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General Surgeon 's  Response
Hello,

* As per my clinical experience, the number of any lab report has to be correlated with the clinical symptoms of the patient.

* Though liver function tests are borderline elevated, till there are no symptoms on the clinical ground and the level does not rise over the period of time, do not panic for any disaster issue at all.

Keep regular follow up and evaluation over period of time.

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

Take care

Regards,
Dr Bhagyesh V. Patel, General Surgeon
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What Does My Lab Test Report Indicate?

Hello, * As per my clinical experience, the number of any lab report has to be correlated with the clinical symptoms of the patient. * Though liver function tests are borderline elevated, till there are no symptoms on the clinical ground and the level does not rise over the period of time, do not panic for any disaster issue at all. Keep regular follow up and evaluation over period of time. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Bhagyesh V. Patel, General Surgeon