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HIV and liver inflamation
Sep 1, 2010

My CD4 = 410, Viral Load = 35000. Mild rashes once in a while, ALT and AST are extremely high. ALT = 430 (acute liver inflamation), high cholesterol, glucose level almost over the board (diabetes) and etc... I haven't start my medication.

What happen to me? What could be the possible outcome? Need to start medicine? Can my liver take HAART? I am scared.

Response from Dr. McGovern

If your liver tests are high before starting medication, I would certainly want further evaluation of what is causing this significant ALT elevation...

If you are overweight, then with the high cholesterol, high glucose...I would be concerned about fatty liver.

I would also get testing for HBV and HCV...

An ultrasound may be helpful along with a biopsy if your liver tests stay abnormal without an explanation.



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