• How to treat elevated liver enzymes?

I've had elevated liver enzymes, ALT & AST for several years, but now they are very elevated. My cardiologist said to see a primary care doctor. I haven't been to one in a few years because my previous doctor retired. I just went to a new primary care doctor and the only tests he ordered is the GGT, hep b and hep c and CBC. Hep b and c tests came back fine, still waiting on the GGT.

I rarely drink alcohol or soft drinks or eat sweets. Only meds I take are a beta blocker, plavix, and aspirin for HBP and stent. I saw the doctor yesterday and he already set up a Transjugular intrahepatic venous pressure measurement procedure to be done next week. It seems to me that this procedure would be further down the list of things to do. I've read that their are many other conditions such as nonalcoholic fatty liver disease, autoimmune hepatitis, celiac disease, Epstein-Barr virus, hemochromatosis (too much iron stored in the body), thyroid disorder, liver cancer, mononucleosis, polymyositis, toxic hepatitis, Wison's disease, etc that could be checked by blood work etc, first, before the Transjugular test.

What do you think?

2 Answers

  • Cardiologist
  • Winston Salem, NC

It sounds like you need to have a second opinion to decipher if this transjugular procedure is needed.It sounds like you need to have a second opinion to decipher if transjugular procedure is needed. Consider seeing a G.I. specialist. You may contact me at 619-582-2404 and I can talk to you in person as necessary Behzad Taghizadeh, MD 8851 Center Dr. Suite 405, La Mesa, CA 91942 2452 Fenton St. Suite 205 Chula Vista, CA 91914 P:619-582-2404 F:619-243-3236 https://www.sandiegovaricoseveintreatment.com/

  • Internist
  • New Port Richey, FL

I agree with your thoughts. Such pressure measurement is usually done in academic institutions by research doctors and not at the community level. You have already mentioned common causes. If enzymes are not getting worse, leave them alone.

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