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Need an opinion about my updated liver test results

Oct 10, 2005

I was diagnosed with hepB about 6 weeks ago. At that time, my AST was 1190 and my ALT was 1730! My bilirubin was 7 mg/DL and my Alkaline Phosphatase was at 180. Last night I went to urgent care because I was feeling much worse than just a week ago and the test results came back as follows: AST 79, ALT 71, Alkaline Phosphatase 126 - all of which are improved. However the bilirubin came in at 18.4! More than twice what it was (which accounts for my continued jaundice and significantly increased itching). What are some possible reasons the bilirubin is so much more elevated when my other levels are so improved? Any dietary/supplement suggestions you can make? Thanks.

Response from Dr. Holodniy

You are still in the acute infection period. I would stay away from any supplements or medications, particularly anything that might affect or be metabolized by the liver.

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