I used to be 230 plus lbs and then i lost 80 lbs after changing my diet and getting treatment for PCOS/endometriosis. A year later, I had to get a hysterectomy. I also suffer from several chronic conditions where I take muscle relaxers, meloxicam (rarely), clonazepam, and an androgen suppressant. (no issues with insulin resistance) Before my weight loss, I made the move to get sober. (I was high functioning. going on 3 years sober!) During my uptick in health choices, and with the benefits of the surgery my blood tests came back great. I was looking better, feeling better, my blood pressure is highly improved, and my cardiovascular health improved. (also lowered cholesterol into normal levels) Everything was doing great; aaaand then I was prescribed duloxetine for my adhd recently. Boom, high liver enzymes on the next blood test. (I get blood tested semi frequently)
Last October my ALT was 37 and AST was 36. Last week I got tested again and my ALT was 76 and AST was 75. However I was taking Augmentin for four days prior to testing. I am hoping this increase was due to that. I will go for another test in a month or so and see how it goes.
My ALT was 138 and my AST was 61. I lost 60 pounds in a year and I have NASH and I take plasma infusions of upwards of 5 hours once a month for 12 years. I have cut my carb intake and was taking Chlestrol medicine for 5 years called Zetia. Also I do the plasma infusions I take is for a Immune disorder called Primary Immune Defeciant Disorder (PIDD) which consists of ear infections and bronchitis and I have COPD and Asthma I was a former smoker until I quite 5 years ago. I don't drink soda just water, but I am guilty as of late from earlier this year to present of eating Freezepops which I know are probably high in fructose which I know effect the liver directly. But I didn't start doing that until I started the Mounjaro shot about 5 months ago,just found myself craving sugar, but my A1C is 4.6 which the shot has helped with me being a borderline diabetic. Also wondering if protonex or pepcid or allergy medicine if those can play a factor in liver enzymes. With all the information you have here I was wondering if you could help figure out the root of the cause and maybe go in depth and not have a AI generated answer. Thank you and have a good day.
I'm not a doctor and I can't definitively prove a correlation, but I was diagnosed with a liver lesion right after finishing a bottle of protonix, so now I won't touch the stuff.
@@swintegrative How about the plasma infusions for 12 years, wouldn't that strain the liver and being a 26 year ex smoker. And appointment with whom. I tried to mention these things to my Dr... but it falls on deaf ears. And I have know since of direction, like who to see and stuff, I just end up Google searching and watching CZcams videos on these types of things.
I have had 9 imunotherpy (cemplimab) tratments for skin cancer. Excellent improvement for the skin cancer. From my blood test showing liver enzymes out of spec. Can the drug therpy be the reason, and perhaps its time to stop the cemplimab trarment every three weeks as the outward symptoms are all gone? Thank you for your most helpful tutorials.
Elevated enzymes found at annual physical. Currently ALT hovering 180ish and ALT hovering 80ish. I was taking nitrofurantoin as a prophylaxis. I stopped asap in Jan and here 5 months later they haven’t dropped. Stopped all otc and supplements too. Biopsy showed most likely drug induced liver injury and nitrofurantoin is a known culprit. Does it normally take so long for enzymes to go down? My diet is very liver friendly and I have a low BMI.
It typically does not take more than a few weeks to see improvements and liver enzymes. Once you remove the offending agent like in your case if the nitrofuantoin was causing it, I would expect those liver enzymes to drop within a few weeks. sometimes it’s hard to get to the bottom of it though, good luck and thanks for sharing
I have been talking Diphenhydramine almost daily for 15 years. I just found out i have high liver enzymes. I don't drink alcohol at all; nor do i take other drugs of any kind. Can the diphenhydramine be causing it?
Tylenol acetaminophen yes but not so much for ibuprofen aspirin which are traditional nsaids. These tend to negatively affect kidneys and blood pressure
Hey doc, great video! My father has AST 67.3 iu/l and ALT 43.2 iu/l. He has been taking Sintrom for a few years now. Can Sintrom be a cause of these results?
Thank You for all this very important information. I really appreciate it. Insulin resistance, Thyroid issues, and HRT , plus antidepressant duloxetine. I don’t know what to do. I eat very healthy, and take walks, but still having pain for fatty liver. If I start taking metformin for pre diabetes would it help to fix the scenario …. ???? I don’t drink, nor smoke. I don’t know what’s causing the fatty liver….. ????? Probably the combination of all that 😏 Thanks again for your help .
Trazodone usually very safe and does not elevate liver enzymes, but everyone’s body is slightly different and can certainly end up with elevated liver enzymes from taking trazodone specially the dose increases
Hi Dr just saw your video I had a blood test recently n my ALP30-110U/L up by 146. ALP is both a liver enzyme n bone enzyme is it too dangerous n what can i do or change my diet.
What about GLP 1 medications? Like Tirzepatide? I started taking it in November and my labs were normal, now in January my liver enzymes are elevated. I
Intermittent fasting, low carb diet (Keto), no sugar, no processed foods, no alcohol is the fix. You can take NAC, Tudca, and milk thistle to help as well, but the diet is key.
My ALT went from 17 to 39 after five weeks on methotrexate the doctor doesn't seem concerned but I also have a headache daily my stomach burns and I'm nauseous when I eat I am at the moment on six pills every week and I think their intention is to keep increasing that-I'm concerned and wondering if I'm just over worrying about something that I shouldn't worry about
I used to be 230 plus lbs and then i lost 80 lbs after changing my diet and getting treatment for PCOS/endometriosis. A year later, I had to get a hysterectomy. I also suffer from several chronic conditions where I take muscle relaxers, meloxicam (rarely), clonazepam, and an androgen suppressant. (no issues with insulin resistance)
Before my weight loss, I made the move to get sober. (I was high functioning. going on 3 years sober!)
During my uptick in health choices, and with the benefits of the surgery my blood tests came back great. I was looking better, feeling better, my blood pressure is highly improved, and my cardiovascular health improved. (also lowered cholesterol into normal levels)
Everything was doing great;
aaaand then I was prescribed duloxetine for my adhd recently.
Boom, high liver enzymes on the next blood test. (I get blood tested semi frequently)
Thank you for your information and having a generous and careing heart
No problem thank you
Thank you for this information. Very helpful and informative.
Glad it was helpful!
Last October my ALT was 37 and AST was 36. Last week I got tested again and my ALT was 76 and AST was 75. However I was taking Augmentin for four days prior to testing. I am hoping this increase was due to that. I will go for another test in a month or so and see how it goes.
good plan
ThankThank you! Answers some of my questions.
Glad to help!
Very informative. Thank You
Glad it was helpful!
My ALT was 138 and my AST was 61. I lost 60 pounds in a year and I have NASH and I take plasma infusions of upwards of 5 hours once a month for 12 years. I have cut my carb intake and was taking Chlestrol medicine for 5 years called Zetia. Also I do the plasma infusions I take is for a Immune disorder called Primary Immune Defeciant Disorder (PIDD) which consists of ear infections and bronchitis and I have COPD and Asthma I was a former smoker until I quite 5 years ago. I don't drink soda just water, but I am guilty as of late from earlier this year to present of eating Freezepops which I know are probably high in fructose which I know effect the liver directly. But I didn't start doing that until I started the Mounjaro shot about 5 months ago,just found myself craving sugar, but my A1C is 4.6 which the shot has helped with me being a borderline diabetic. Also wondering if protonex or pepcid or allergy medicine if those can play a factor in liver enzymes. With all the information you have here I was wondering if you could help figure out the root of the cause and maybe go in depth and not have a AI generated answer. Thank you and have a good day.
Pepcid and allergy meds do not typically cause elevated liver enzymes. You have a complex case that would require a doctors appointment
I'm not a doctor and I can't definitively prove a correlation, but I was diagnosed with a liver lesion right after finishing a bottle of protonix, so now I won't touch the stuff.
@@swintegrative How about the plasma infusions for 12 years, wouldn't that strain the liver and being a 26 year ex smoker. And appointment with whom. I tried to mention these things to my Dr... but it falls on deaf ears. And I have know since of direction, like who to see and stuff, I just end up Google searching and watching CZcams videos on these types of things.
Thank you Doctor for this information.
Welcome
Very informative video!
Glad it was helpful!
This helped too. Thanks Doc!
Fenofibrate can cause the elevated SAT and LAT elevation
I have had 9 imunotherpy (cemplimab) tratments for skin cancer. Excellent improvement for the skin cancer. From my blood test showing liver enzymes out of spec. Can the drug therpy be the reason, and perhaps its time to stop the cemplimab trarment every three weeks as the outward symptoms are all gone? Thank you for your most helpful tutorials.
Elevated enzymes found at annual physical. Currently ALT hovering 180ish and ALT hovering 80ish. I was taking nitrofurantoin as a prophylaxis. I stopped asap in Jan and here 5 months later they haven’t dropped. Stopped all otc and supplements too. Biopsy showed most likely drug induced liver injury and nitrofurantoin is a known culprit. Does it normally take so long for enzymes to go down? My diet is very liver friendly and I have a low BMI.
It typically does not take more than a few weeks to see improvements and liver enzymes. Once you remove the offending agent like in your case if the nitrofuantoin was causing it, I would expect those liver enzymes to drop within a few weeks. sometimes it’s hard to get to the bottom of it though, good luck and thanks for sharing
Thanks for your response. Do you think having an occasional glass of wine can cause these enzymes to remain elevated?
I have been talking Diphenhydramine almost daily for 15 years. I just found out i have high liver enzymes. I don't drink alcohol at all; nor do i take other drugs of any kind. Can the diphenhydramine be causing it?
NSAIDS also increase liver enzymes from my understanding. Do you have any information on that?
Tylenol acetaminophen yes but not so much for ibuprofen aspirin which are traditional nsaids. These tend to negatively affect kidneys and blood pressure
Very helpful thank you
Glad it was helpful!
Hey doc, great video! My father has AST 67.3 iu/l and ALT 43.2 iu/l. He has been taking Sintrom for a few years now. Can Sintrom be a cause of these results?
How about Lamisil (250mg tablet)? Can it elevate your liver enzymes?
Many medication‘s can purchase because you’re taking a medication in the liver enzymes are high doesn’t necessarily mean that’s the cause.
Ariprazole?
Thank You for all this very important information. I really appreciate it.
Insulin resistance, Thyroid issues, and HRT , plus antidepressant duloxetine. I don’t know what to do. I eat very healthy, and take walks, but still having pain for fatty liver.
If I start taking metformin for pre diabetes would it help to fix the scenario …. ????
I don’t drink, nor smoke.
I don’t know what’s causing the fatty liver….. ????? Probably the combination of all that 😏
Thanks again for your help .
Insulin resistance is a big one. Check out my video on diet and elevated liver if you want
@@swintegrative Thanks so much, of course I will …. God Bless your life 🙏
What about trazadone
Trazodone usually very safe and does not elevate liver enzymes, but everyone’s body is slightly different and can certainly end up with elevated liver enzymes from taking trazodone specially the dose increases
Could SSRis be a culprit with long time usage?
Not likely
Hi Dr just saw your video I had a blood test recently n my ALP30-110U/L up by 146.
ALP is both a liver enzyme n bone enzyme is it too dangerous n what can i do or change my diet.
Finanstride Can cause also liver enzines
I have been talking Ayurvedic medicines
Triphala powder
Moringa powder
Can they elevate liver enzymes
if they are contaminated with some kind of toxins they could otherwise not likley.
Levothyroxine causing high liver enzymes?
Not likely
New sub ❤
Yay! Thank you!
can azithromycin cause increase ast?was taking for 5 days and now my ast is 99
Not typically
What about GLP 1 medications? Like Tirzepatide? I started taking it in November and my labs were normal, now in January my liver enzymes are elevated. I
Im sure it is possible but I have not seen that in my practice.
Corticosteroids also screw up the liver
Yes they can
What about Accutane?
Yea definitely accutane can raise liver enzymes
I have just diagnosed with fatty liver and already I have gastritis managing
What can I do with my situation
Please I need your help
See my other videos on high liver enzymes I think those will help
Intermittent fasting, low carb diet (Keto), no sugar, no processed foods, no alcohol is the fix. You can take NAC, Tudca, and milk thistle to help as well, but the diet is key.
My ALT went from 17 to 39 after five weeks on methotrexate the doctor doesn't seem concerned but I also have a headache daily my stomach burns and I'm nauseous when I eat I am at the moment on six pills every week and I think their intention is to keep increasing that-I'm concerned and wondering if I'm just over worrying about something that I shouldn't worry about
I was taking that medication and it’s the worse!
Can Benadryl raise liver enzymes ?
Can quetiapine cause high liver emzymes
not certain but would think so.
Diltiazem?
What abt Baclofen?
Not a common culprit