hope1020

Hello ClareLynn, My AST and ALT are finally in range as of the last three months. The ALP did decrease but not within the normal range. It has not been as high as last year when I was hospitalized. The last set of liver enzymes taken did show low Protein which is new. Bruising on the arms and legs increased in the past six months. My general practitioner, hematologist, gastrologist, and hepatologist have concluded it is the liver function. The next step is a liver biopsy which I will know more about on Monday. I will say I feel good and would never know anything was wrong without the bruising and the bloodwork. I did not have issues prior to the DS surgery and still don't know if it related to it. General Practioner believes the liver is not processing my protein properly. I looking forward to my appt on Monday with the hepatologist.

I had RNY, but my liver enzymes were elevated the first year or so. My PCP said thought it was probably fatty liver, but then I read online (some reliable medical site) that elevated liver enzymes were not uncommon after WLS because the rapid weight loss can be really hard on livers. I had them re-tested later, and they were normal - so I think that's what was going on. Not sure why this possibility didn't occur to my PCP, but maybe she doesn't see many bariatric patients.
I'm not saying this the cause of yours, but I think it was in my case. In any case, mine are normal now.
EDITED to add I just re-read your post and you said your liver was enlarged. So your enzyme levels may be due to something else. I don't know if my liver was enlarged since that was never checked - but my enzyme levels were definitely high.

I completely understand and felt bloated as well. Everyone moves at their own pace after surgery and no two cases are the same. My mom and I both had the surgery with very different experiences. Our doctors said take sips and until you recognize how your body feels. For my mom, it was a slow process with Fluid intake and I was the opposite. Best advice...slow and easy. You know your body better than anyone else. Remember your body is recovering and learning something new along with your mind. It is not a sprint to your goal. It is a well paced marathon. You got this!