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Thread: Elevated liver enzymes?! EEP! Is this because I am in Phase 2?

  1. #1

    Elevated liver enzymes?! EEP! Is this because I am in Phase 2?

    I just had blood work done today in which they did the liver testing, glucose, and lipids. Everything came back normal except my ALT (SGPT) number which was 93. My cholesterol was 168, my triglycerides were 79 and my glucose was 80.

    I hadn't told the doctor I was doing HCG and when they called back with the levels I told the nurse that I was currently doing the HCG diet. He just wanted my levels tested again in a few months and I told her I would be back after I stopped the HCG diet.

    Is there something wrong with my liver? The only medication I am on is Synthroid and Spironolactone which is a weak diuretic that helps lower my testosterone levels and helps with my hormonal acne. Other than that no meds.

  2. #2
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    Do you still have your gallbladder?

  3. #3
    Quote Originally Posted by lilacmoon71 View Post
    Do you still have your gallbladder?
    yes

  4. #4
    Why is that? He checked my gallbladder by feeling it and I didn't have any pain or anything like that. I had him look because I will randomly have a dull ache/pain in the right side of my abdomen. He said it wasn't a concern right now. This was before the liver blood work came back though.

    I am pretty sure I had my levels tested in August and/or December and nothing has ever come back abnormal until now. I wasn't in Phase 2 during those time though.

  5. #5
    RN, Moderator Extraordinaire ILuvKats's Avatar
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    Don't panic....93 is not THAT high....normal is in the high 50's. Your other numbers look great, which is a good sign. I would wait and retest after you have been off of p2 for at least 6 weeks. Dr S says our cholesterol, and by implication, liver enzyme tests will be way off while on p2. If you have had mild right upper quadrant pain recently, your gall bladder might have a few issues, which could account for the mild elevation. Many folks have mild elevations in gall bladder inflamation indicators while losing weight, under any weight loss plan. This includes post partum weight loss. This is why your doc wants you to retest in a few months. Don't worry too much about it....but if your right upper quadrant pain gets worse, see a doc, OK?

  6. #6
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    Most people have lots of pain with a bad gallbladder, but not all. I had almost no pain, just a pressure under my right ribs sometimes. And about once a month I would not feel good for most of the day and then vomit for about an hour in the evening then I would feel better. I was thinking I had the flu.
    I went in for my yearly and my doc mentioned the elevated liver enzymes. I felt kind of silly, not recognizing the signs and symptoms. but I did have very little pain. The next step is an abdominal ultrasound. If there are stones they show up fairly obviously.

    After I had my lap chole, my surgeon told me I must be some kind of superwoman because my gallbladder was one of the worst she had ever seen, inflamed and full of stones.

    If it is your gallbladder, don't let anyone tell you it is because of the HCG diet, any dieting can cause cholecystitis.

  7. #7
    Quote Originally Posted by ILuvKats View Post
    Don't panic....93 is not THAT high....normal is in the high 50's. Your other numbers look great, which is a good sign. I would wait and retest after you have been off of p2 for at least 6 weeks. Dr S says our cholesterol, and by implication, liver enzyme tests will be way off while on p2. If you have had mild right upper quadrant pain recently, your gall bladder might have a few issues, which could account for the mild elevation. Many folks have mild elevations in gall bladder inflamation indicators while losing weight, under any weight loss plan. This includes post partum weight loss. This is why your doc wants you to retest in a few months. Don't worry too much about it....but if your right upper quadrant pain gets worse, see a doc, OK?
    Thank you so much! I will definitely see a doc if that pain gets worse. It randomly comes and goes and I thought it was from my high fat diet when I wasn't dieting but even in P2 I will randomly get that pain. It doesn't really hurt, just an uncomfortable annoying ache I guess.

    I will go ahead and wait until I am at my goal weight which will be the next round I do and then I will wait at least 6 weeks before having them tested again. I am also going to drop cycling and do 6 weeks of P3/P4 instead of only 3 weeks like I wanted. Time for a break

  8. #8
    Quote Originally Posted by lilacmoon71 View Post
    Most people have lots of pain with a bad gallbladder, but not all. I had almost no pain, just a pressure under my right ribs sometimes. And about once a month I would not feel good for most of the day and then vomit for about an hour in the evening then I would feel better. I was thinking I had the flu.
    I went in for my yearly and my doc mentioned the elevated liver enzymes. I felt kind of silly, not recognizing the signs and symptoms. but I did have very little pain. The next step is an abdominal ultrasound. If there are stones they show up fairly obviously.

    After I had my lap chole, my surgeon told me I must be some kind of superwoman because my gallbladder was one of the worst she had ever seen, inflamed and full of stones.

    If it is your gallbladder, don't let anyone tell you it is because of the HCG diet, any dieting can cause cholecystitis.
    Oh I have had the dull ache that comes and goes randomly for the last year or year and half so I for sure know it isn't the HCG. I was just confused about why the would be elevated now when they weren't elevated in the past. I am going to call my endo tomorrow and ask him if he tested my liver enzymes in December when I last saw him.

    Thank you for the info! I will for sure watch my gallbladder, I have never thrown up from it but that sounds awful. You poor thing!

  9. #9
    RN, Moderator Extraordinaire ILuvKats's Avatar
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    its very likely your gall bladder, but whether or not you need it removed is yet to be determined. Even if you need it out....its a same day surgery now, very little down time, so don't stress yourself over it. I think you need a scan of your gall bladder for stones, since you are having intermittant pain. That will tell you if you have big stones to worry about.

  10. #10
    My liver enzymes have been slightly elevated for a couple of years (higher than yours). My gastro doc said it was nothing to worry about, just a little fat depositing into the liver (which is not "normal"). My triglycerides were high too, which is common for hypothyroid diagnosis. I was able to bring my liver enzyme levels down by following a low fat diet. Ironically, the doc said that a extremely low fat rapid weight loss could temporarily increase the levels. Your level is not that high, but it's good to monitor these things, because it's the changes over time that sometimes tell a story.
    Sleeveless in Seattle
    If food is not what you need, what is it you really want?

  11. #11
    Super Member! rockymountainfly's Avatar
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    If you suspect gall bladder issues you might want to try a supplement that supports the gall bladder. I had some gall bladder pain after my 3rd round. I tried Whole World Botanicals Royal Break Stone liver-gall bladder support. I got it at whole foods. 3x a day for 2 weeks. It tastes nasty but it worked and I haven't had any problems since.

  12. #12
    I LOVE being a LOSER!! DrivenAgain's Avatar
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    Cut & Paste from Pounds and Inches...


    Gallstones

    Small stones in the gall bladder may in patients who have recently had typical colics cause more frequent colics under treatment with HCG. This may be due to the almost complete absence of fat from the diet, which prevents the normal emptying of the gall bladder. Before undertaking treatment we explain to such patients that there is a risk of more frequent and possibly severe symptoms and that it may become necessary to operate. If they are prepared to take this risk and provided they agree to undergo an operation if we consider this imperative, we proceed with treatment, as after weight reduction with HCG the operative risk is considerably reduced in an obese patient. In such cases we always give a drug which stimulates the flow of bile, and in the majority of cases nothing untoward happens. On the other hand, we have looked for and not found any evidence to suggest that the HCG treatment leads to the formation of gallstones as pregnancy sometimes does.



    On a side note... any time you are losing weight at a rapid pace, your liver is forced to work overtime to break down the fat. If you are not drinking TONS of water, than you can have trouble losing... as well as a backed up liver, (which can cause your labs to be elevated). If I were you, I would make sure to be drinking about 3 liters of water a day (not just 2), and maybe supplement with some bile salts, or something else that helps with gallbladder/liver detox.

    If you are a follower of Kevin Trudeau's extension of the HCG protocol... or if you read natural medicine cures about liver/gall bladder issues... there is a "Liver Flush" that is recommended to do 3 times a year. It can't be done during P2, but it's highly recommended to do either before HCG or after a round. It will help flush out the stones that are in there and help you avoid needing surgery. There are hundreds of sites that offer instructions and recipes for a Liver Flushes... although it's a controversial topic. Some people say that they help... and others say they're useless. I don't know who's right. I haven't tried one yet... although I plan to.
    MY BLOG http://DrivenOnR3.wordpress.com/

    START: 2/8/2011 @164
    Planned Interruption: LIW 3/18 @143.6
    RE-Start VLCD: 4/1 @150 PI LIW+6.4 (Post 1-Day ReLoad)
    NEW Loss: Down -3.6 After Interruption


    FINAL LIW: 4/8 @140.0 > > > TOTAL LOSS -24.0 (From 1st Shot)

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