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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Can Elevated Liver Enzymes Be Treated?

I got back from a pre-op testing and my AST and another liver enzyme are elevated. I seem to have the physical makeup for fatty liver disease, though I am not diabetic and am a moderate drinker. I'm losing weight and exercising. Other than more testing, is there a way to indicate I'm going in the right direction?
Wed, 21 Feb 2018
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Ayurveda Specialist 's  Response
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Thanks for contacting with your health concern

1. Although you think you are not diabetic, fatty liver can be due to some underlying addiction [moderate drinker] or because of some underlying metabolic disorder [ check with blood sugar, underactive thyroid, and cholesterol values], however, to know the staging and prognosis kindly consult your physician or a Hepatologist.

PS. Another cause of mild elevation of liver enzyme is muscle injury due to exercise [present] without causing any other symptom

2. I at most can let you know about the diet, lifestyle, and investigations which one has to follow:

i. blood examination: Hb%, TLC, DLC, ESR [ESR will be increased in presence of infection]
ii. Liver function test: Serum Bilirubin, SGOT/SGPT/Alkaline phosphatase.

PS. keep a note that although these tests are sensitive but very nonspecific and serve to detect liver disease rather than quantitative liver function so their high values don't signify a serious complication most of the time, it is the underlying pathophysiological process which needs to be diagnosed and managed.

iii. Take Antioxidants, probiotics, low carbohydrate diet, fish, beans, legumes, low-fat milk, yogurt, olive oil, coffee, raw garlic, spinach, taro root, soybean, broccoli, carrot, mango, papaya, pumpkin, cauliflower, tomato, mushroom, cheese.

Avoid: milk/dairy products, heavy food, oily/fried food, IRON, KAPHA food

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How Can Elevated Liver Enzymes Be Treated?

** Thanks for contacting with your health concern 1. Although you think you are not diabetic, fatty liver can be due to some underlying addiction [moderate drinker] or because of some underlying metabolic disorder [ check with blood sugar, underactive thyroid, and cholesterol values], however, to know the staging and prognosis kindly consult your physician or a Hepatologist. PS. Another cause of mild elevation of liver enzyme is muscle injury due to exercise [present] without causing any other symptom 2. I at most can let you know about the diet, lifestyle, and investigations which one has to follow: i. blood examination: Hb%, TLC, DLC, ESR [ESR will be increased in presence of infection] ii. Liver function test: Serum Bilirubin, SGOT/SGPT/Alkaline phosphatase. PS. keep a note that although these tests are sensitive but very nonspecific and serve to detect liver disease rather than quantitative liver function so their high values don t signify a serious complication most of the time, it is the underlying pathophysiological process which needs to be diagnosed and managed. iii. Take Antioxidants, probiotics, low carbohydrate diet, fish, beans, legumes, low-fat milk, yogurt, olive oil, coffee, raw garlic, spinach, taro root, soybean, broccoli, carrot, mango, papaya, pumpkin, cauliflower, tomato, mushroom, cheese. Avoid: milk/dairy products, heavy food, oily/fried food, IRON, KAPHA food