Question 1

I'm really concerned about my ALTSGPT level, which is at 91.5. I've been taking liver supplements, eating healthy, drinking lots of water, and exercising regularly, but nothing seems to be working. Can you help me understand why it's still high and what else I might be missing in my approach?

Accepted Answer

While lifestyle changes like a healthy diet, regular exercise, avoiding alcohol, and staying hydrated can significantly improve liver health and help lower ALT levels, it is essential to identify the underlying cause with the help of your healthcare provider. Following a comprehensive treatment plan that includes the right medications, supplements, and lifestyle adjustments is key to managing liver function.

Question 2

I've been having some trouble understanding my recent test results. My total bilirubin level has been over 1.5 and my SGOTSGPT levels above 50 since September 2015. I've had all sorts of tests done at MIOT, but everything came back negative. The doctors haven't figured out why it's like this yet, and they're suggesting continued follow-up. I'm just really concerned and would appreciate any advice on what might be going on.

Accepted Answer

Udiliv 300 for Altered Liver Enzymes

_Safety and Efficacy_

1. _Udiliv 300_: Contains ursodeoxycholic acid (UDCA), which helps stabilize liver cell membranes and promote bile flow.
2. _Short-term use_: Generally safe and effective for short-term use (up to 6-12 months) in patients with mild liver enzyme elevations.
3. _Long-term use_: Long-term safety and efficacy data are limited. Potential risks include:
    - Hepatotoxicity (rare)
    - Increased risk of liver cancer (theoretical)

_Precautions and Monitoring_

1. _Regular liver function tests (LFTs)_: Monitor LFTs (SGOT, SGPT, and bilirubin) every 3-6 months to assess treatment efficacy and potential hepatotoxicity.
2. _Dose adjustment_: Adjust the dose or discontinue Udiliv 300 if LFTs worsen or if you experience adverse effects.
3. _Liver ultrasound or imaging_: Consider periodic liver ultrasound or imaging studies to monitor liver health.

_Alternative Options_

1. _Consult a gastroenterologist or hepatologist_: Discuss alternative treatment options and long-term management strategies with a specialist.
2. _Lifestyle modifications_: Implement lifestyle changes, such as:
    - Maintaining a healthy weight
    - Exercising regularly
    - Eating a balanced diet
    - Avoiding hepatotoxic substances (e.g., excessive alcohol)

_In Conclusion_

While Udiliv 300 can be used for short-term management of altered liver enzymes, long-term use requires careful monitoring and consideration of alternative options. Consult a specialist to determine the best course of treatment for your specific situation.

Question 3

I'm really worried about my mom. She's 68 and has a celiac condition, and her ESR just came back at 61, which seems high to me. Her hemoglobin is 9.6 gm, and she's also undergoing treatment for CLD. I'm trying to figure out why her ESR is so elevated. Plus, she's developed these allergy-like pimples on her back and stomach. Could these issues be related? What could be causing this?

Accepted Answer

refer to general physician

consult physician

More Gastroenterology/GI medicine Health Queries

I'm really concerned about my ALTSGPT level, which is at 91.5. I've been taking liver supplements, eating healthy, drinking lots of water, and exercising regularly, but nothing seems to be working. Can you help me understand why it's still high and what else I might be missing in my approach?

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