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Elevated creatinine 1.6

Sep 5, 2010

I seroconverted in August 2008, started meds in December 2009 with CD4 count at 418 and vl at 45,000. I'm taking Isentress/Truvada. My labs in May, and most recently in August, both showed an elevated creatinine level of 1.6. My doctor has never mentioned my creatinine levels before May, so I don't know a baseline level or the creatine level from my February labs. The doctor said that we need to watch it and for me to come back in 2 months. As far as I know, there are no plans to conduct any additional tests other than my usual labs. Should I request more testing to investigate this 1.6 level, and if so, what tests? I should mention that I have no other medical conditions. I have low cholesterol (total 125) , exercise regularly, normal blood pressure, undetectable viral load, and CD4 of 559. Thanks.

Response from Dr. Holodniy

I agree with your doctor's plan. It would be helpful to know if your level prior to starting meds was say 0.8, as opposed to 1.4. The former would make tenofovir (in truvada) a more likely cause. I don't think I would do anything more just yet, given your lack of other medical conditions or medications.

AST greater than ALT

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