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Ask the Experts about Hepatitis and HIV Coinfection
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hep c
Jul 3, 2009

i have had recent labs drawn my alt is 219 and ast 159. when are they considered to be too high. i did treatment in back in 2000 enzymes returned to normal bot my hiv meds failed. i found out in 86 that i was hiv.

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   Response from Dr. McGovern

It is hard for me to advise you because there is not enough information here.

However, I will tell you that liver function tests can be abnormal from several reasons:

1. A new viral hepatitis 2. Drug injury 3. Fatty liver 4. Alcohol 5. Other liver diseases.

I would have your doctor evaluate other causes of disease, but the other possibility is that this is just the waxing and waning of LFTs seen with chronic hepatitis C infection. Be certain to see a doctor who is expert in the liver. Either an infectious disease doctor or a hepatologist.



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