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ALWAYS HAD PERFECT LIVER ENZIMES AFTER 5 MONTH USE ATORVASTATIN

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Posted on Sat, 20 Apr 2019
Question: ALWAYS HAD PERFECT LIVER ENZIMES AFTER 5 MONTH USE ATORVASTATIN 40MG RESTORIL 30MG ,AST 55, ALT 96
TOTAL CHOLESTEROL 90 TRIG 72 LDL32 HDL 44 RATIO TCHOL/HDL 2
ALSO DID SIEMENS ELASTOGRAPHY WITH SHAKY TECHNOLOGIST WITH MEDIAN SHEAR FROM 3.57 TO 38.2 0R F4 SCORE
doctor
Answered by Dr. Chobufo Ditah (1 hour later)
Brief Answer:
Do you have any pre-existing liver disease?

Detailed Answer:
Hi and thanks so much for this query.

I have reviewed your information and the attached files.

I'd like to know if you have any prior liver disease condition.

It is unlikely that Atorvastatin alone could be responsible for the F4 score. For increased liver enzymes, yes Atorvastatin is well documented to do that.

However, as long as the values remain below three times the upper limit, we can safely continue the medication because the gains outweigh the risk. Your lipid profile looks great on this drug though have no idea what it looked like prior.

If you had no prior liver disease, it'll be better to repeat the liver elastography.

In addition to Atorvastatin, diet, and exercise helps with cholesterol issues.

I hope these guides and helps.
I wish you well.

Please feel free to follow up in case of any further queries.


Above answer was peer-reviewed by : Dr. Arnab Banerjee
doctor
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Follow up: Dr. Chobufo Ditah (1 hour later)
Doctor,
No I have not had any pre-existing liver disease nor drink Etoh at all, during a CT with contrast in October 2018 a benign 5.1 cm hypodense mass in segment six demonstrates early peripheral nodular enhancement,with centripetal filing and homogeneous enhancement of the rest of the liver parenchyma on delayed phase consistent with an hemangioma , enzymes have always been within normal values during the last three years
doctor
Answered by Dr. Chobufo Ditah (32 minutes later)
Brief Answer:
It'll be better to repeat the tests!

Detailed Answer:
Hi,

Well, in that scenario, I'd recommend you get a repeated analysis of this test. Do keep me posted.

Awaiting...



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Above answer was peer-reviewed by : Dr. Arnab Banerjee
doctor
Answered by
Dr.
Dr. Chobufo Ditah

General & Family Physician

Practicing since :2009

Answered : 6323 Questions

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ALWAYS HAD PERFECT LIVER ENZIMES AFTER 5 MONTH USE ATORVASTATIN

Brief Answer: Do you have any pre-existing liver disease? Detailed Answer: Hi and thanks so much for this query. I have reviewed your information and the attached files. I'd like to know if you have any prior liver disease condition. It is unlikely that Atorvastatin alone could be responsible for the F4 score. For increased liver enzymes, yes Atorvastatin is well documented to do that. However, as long as the values remain below three times the upper limit, we can safely continue the medication because the gains outweigh the risk. Your lipid profile looks great on this drug though have no idea what it looked like prior. If you had no prior liver disease, it'll be better to repeat the liver elastography. In addition to Atorvastatin, diet, and exercise helps with cholesterol issues. I hope these guides and helps. I wish you well. Please feel free to follow up in case of any further queries.