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Elevated Liver enzymes 4 months post op



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Hope somebody out there can help me out, I'm 4 months post op (down 54lbs, yay!). Had a follow up with my surgeon last Friday and reviewed my blood work. Everything was great (cholesterol down to 164 from over 200 off my Lipitor) A1C was back to normal. The only thing she brought up was that my liver enzymes were elevated (ALT was 90, AST was 69). She said sometimes during surgery the liver gets moved around and this may be the cause. She did not seem concerned at all. The other thing is, it was my PCP that did the blood work and didn't notify me with any concerns either.

Hoping there may be someone (physician?) out there who can allay any fears I have or a further explanation of why I might get these results. Thanks in advance for all your help!

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Sometimes elevated liver enzymes may be a signal of gall bladder issues....that was my expeince and ended up having my gall bladder out. I still have slight elevated enzymes, but that just be my "normal" level...more blood work to follow! Good luck!!

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Is he repeating the test in a month? If you continue to have concerns I would recommend going to see a gastroenterologist/hepatobiliary doctor.

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I would say gallbladder as well. As a side note, if it's throwing your blood work off...RUN do not walk to the gastro. Best to you.!!

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I agree with the gallbladder.. could definitely be that.. just went through it. I've seen some people say their Doctors put them on medication for gallstones.. so maybe that would work fo ryou.

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Mine was elevated when I went back at 6wks. My doctor said it was coming down it was just so high to start with. Do you know what it was to start with

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Mine are elevated 1 month and 3month post op. I don't have a gallbladder, is it from the large fat loss your liver is over worked and the elevated Protein intake?

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Mine was also elevated, caught by my PCP. They said to cut back on drinking..and I was like umm..haven't done that in months so..wtf. I just shrugged it off, I have had zero gallbladder issues that I know of. Now I'm nervous and feel like I should have mine checked again...

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I currently have fatty liver. I am pre-op still. My pcp told me weight loss can help lower liver enzymes but rapid weight loss can cause elevated liver enzymes. It could just be the rapid weight loss. If that's the case when your weight loss slows they should get back to normal.

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I had elevated at 6 months post op. Did an ultrasound and everything was fine. They said it was from the rapid weight loss.

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    • Alisa_S

      On day 4 of the 2 week liquid pre-op diet. Surgery scheduled for June 11th.
      Soooo I am coming to a realization
      of something and I'm not sure what to do about it. For years the only thing I've enjoyed is eating. We rarely do anything or go anywhere and if we do it always includes food. Family comes over? Big family dinner! Go camping? Food! Take a short ride or trip? Food! Holiday? Food! Go out of town for a Dr appointment? Food! When we go to a new town we don't look for any attractions, we look for restaurants we haven't been to. Heck, I look forward to getting off work because that means it's almost supper time. Now that I'm drinking these pre-op shakes for breakfast, lunch, and supper I have nothing to look forward to.  And once I have surgery on June 11th it'll be more of the same shakes. Even after pureed stage, soft food stage, and finally regular food stage, it's going to be a drastic change for the rest of my life. I'm giving up the one thing that really brings me joy. Eating. How do you cope with that? What do you do to fill that void? Wow. Now I'm sad.
      · 0 replies
      1. This update has no replies.
    • Alisa_S

      On day 4 of the 2 week liquid pre-op diet. Surgery scheduled for June 11th.
      Soooo I am coming to a realization
      of something and I'm not sure what to do about it. For years the only thing I've enjoyed is eating. We rarely do anything or go anywhere and if we do it always includes food. Family comes over? Big family dinner! Go camping? Food! Take a short ride or trip? Food! Holiday? Food! Go out of town for a Dr appointment? Food! When we go to a new town we don't look for any attractions, we look for restaurants we haven't been to. Heck, I look forward to getting off work because that means it's almost supper time. Now that I'm drinking these pre-op shakes for breakfast, lunch, and supper I have nothing to look forward to.  And once I have surgery on June 11th it'll be more of the same shakes. Even after pureed stage, soft food stage, and finally regular food stage, it's going to be a drastic change for the rest of my life. I'm giving up the one thing that really brings me joy. Eating. How do you cope with that? What do you do to fill that void? Wow. Now I'm sad.
      · 1 reply
      1. summerseeker

        Life as a big person had limited my life to what I knew I could manage to do each day. That was eat. I hadn't anything else to look forward to. So my eating choices were the best I could dream up. I planned the cooking in managable lots in my head and filled my day with and around it.

        Now I have a whole new big, bigger, biggest, best days ever. I am out there with those skinny people doing stuff i could never have dreamt of. Food is now an after thought. It doesn't consume my day. I still enjoy the good home cooked food but I eat smaller portions. I leave food on my plate when I am full. I can no longer hear my mother's voice saying eat it all up, ther are starving children in Africa who would want that!

        I still cook for family feasts, I love cooking. I still do holidays but I have changed from the All inclusive drinking and eating everything everyday kind to Self catering accommodation. This gives me the choice of cooking or eating out as I choose. I rarely drink anymore as I usually travel alone now and I feel I need to keep aware of my surroundings.

        I don't know at what point my life expanded, was it when I lost 100 pounds? Was it when I left my walking stick at home ? Was it when I said yes to an outing instead of finding an excuse to stay home ? i look back at my last five years and wonder how loosing weight has made such a difference. Be ready to amaze yourself.

        BTW, the liquid diet sucks, one more day and you are over the worst. You can do it.

    • CaseyP1011

      Officially here for a long time, not just a good time💪
      · 0 replies
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    • KimBaxleyWilson

      Three months and four days ago... I was in Costa Rica having a life changing surgery! Yesterday we had a followup visit with Dr. Esmeral via video chat and this morning my middle number changed.  I'm down 47lbs and two pants sizes. I can wear a Large tshirt for the first time in like... 14 years! Woot!! Everything is going great. I have zero regrets. I went down to the riverwalk with a friend and walked 2 miles on Monday without even getting fatigued. And no more snoring or chugging pickle juice for crazy leg cramps! I need to go to the gym more... I'm making new shirts next week so that will motivate me. LOL But I'm also just not as TIRED all the time! I have a LONG way to go...but seeing the progress on the scales and in the mirror is a huge motivator!! Thank you all for cheering me on and supporting me!!
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      1. This update has no replies.
    • bellaamey

      https://alluniqueguide.com/java-burn-coffee-reviews/
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