elevated enzymes & anti-smooth muscle..NEED HELP
Can someone please look over my medical history, and let me know what they think? A Fatty Liver was suspected from the internist, but I have no idea what the liver specialist is thinking. He's not saying anything really...he's waiting for another blood test in a few months, and then a probable liver biopsy (which I am scared to get!) He just said "don't worry" right now, because that won't help my health. Well, I am MORE worried, because I'm not being told anything! I'm going nuts!!
My annual blood tests have shown a slight elevation of my liver enzymes since 2001, but since my doctor never told me, I didn't find out until last year.
2002- ALT65 AST- 56
In 2003, when my new internist saw they were elevated, she took me off premarin. (I was on it for 5 years) They started to drop. Since I have high cholesterol (278), she put me on Zetia. That made them rise, so she took me off. I have been on Fosamax the whole time, since I have a T score of -1.4. I am 47, and went thru surgical menopause at 41.
3 months after stopping the zetia, my AST was 39; ALT 65. I also had a low white blood count of 3.5. (3.8- 10.8 range)
I am still on fosamax and 75 mg. effexor.
My internist said I should see a specialist. The blood work that came back from that visit...... AST-35; ALT-57; anti smooth muscle- 1:80
The rest of the test was in the normal range-
Bilirubin, total- 0.3
Bilirubin, direct- 0.1
ALK Phosphatase- 101
Total Protein- 7.7
My white blood count was not tested that time. Hepatitis was ruled out on previous blood tests from the internist.