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fatty liver with hiv medicines
Jul 25, 2007

hi doctor! how are you?? My name is Lee I had hep B,the first Lab (sep/29/06)hepDNA 8.000.000 iu/ml ALT 49 with reference range 2-60 AST 26 with reference range 10-50.I take one lamivudin a daily.The secon LAB DNA 2000 iu/ml ALT 38 ASL 26 But the last LAB (6/29/07) DNA 477 iu/ml ALT 49 AST 26 PROTEIN 7.9 <8.0 My doctor refre me to do biopcy ,he say i may have fatty liver,I am so worry Does HIV medicine make Fatty liver? all something else? I never had alcoho. Waiting for your anwser Doctor...

Response from Dr. McGovern

I am impressed with your excellent response to date with Lamivudine. It will be quite important to continue taking your medications on a regular basis to avoid resistance.

Your liver function tests are nearly normal. The mild elevation could be simply related to lamivudine - I would not be concerned about this at all.

Yes, many patients have fatty liver - but it is usually associated with hepatitis C, diabetes, high cholesterol or triglyceride levels, or obesity. This probably does not apply to you.

It sounds like you are doing great. Keep up the good work. I would not worry about a slight elevation of your ALT.

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