Elevated Liver Enzymes

[Afshin]

I'm wondering if anyone has any thoughts.  My liver enzymes have been elevated lately, and I'm wondering if it's because of the vegetarian-keto diet that I've been on, which I started about 4 months ago.

Specifically, these are the liver enzymes that have been increasing more drastically ever since I started the diet.  I had two lab tests done this month, 2 weeks apart:

-Alanine aminotransferase (ALT) = 58 unit/L & then 67 unit/L respectively, up from 43 unit/L 6 months before.

-Alkaline phosphatase (ALP) = 185 unit/L & then 217 unit/L respectively, up from 117 unit/L 6 months before.

-Aspartate aminotransferase (AST) = 43 unit/L & then 46 unit/L respectively, up from 33 unit/L 6 months before.

-Bilirubin Direct = was 0.34 mg/dL, outside the reference range of <=0.18 mg/dL.

I came across some articles that mentioned that the Keto diet could cause liver enzymes to elevate.  I'm considering taking myself off the diet, but I'm not sure yet.  Thought I'd hear if others have had similar experiences and what they did to correct their enzyme levels.

Thanks,

Afshin

[Diane]

My own liver enzymes were elevated with PLD, Dr. Torres told me not to worry about it, I would ask my doctor about your own elevation , email,

~Diane

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[Mark de Buisseret]

Dont worry about alkp. Mine has been through the roof for many years. All i have found out is that it goes up the more cysts you have. Nothing has been done but ive not seen a liver dr since 2003 and that was an accident. In the absence of a renal specialist he drew the short straw.

Mark

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[Mark de Buisseret]

[Afshin]

Thanks for the replies.  I had one person tell me it's possible it's from the Losartan medication I've been taking, which I've been on for about 2 years now.  I've also read that the keto diet can elevate the liver enzymes.  But if I'm to understand the enzymes get elevated regardless of being on the keto diet or not, then perhaps I should rule the diet out as being the cause.  It's just interesting to see that the spike has been more drastic over the past one year compared to all other years.  I wonder why.

[Diane Smith]

I would recommend calling your liver doctor   Mine says do not worry about it. But I have PLD with your liver diagnosis I’m just not sure. It could be something or not. Let us what is said

Sent from my awesome Gold iPhone 11

~Diane

On Aug 31, 2020, at 6:06 AM, Afshin <at.m...@gmail.com> wrote:



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[Afshin]

My liver doctor will order some more tests for me such as Hep A,B,C and autoantibody tests as well as an MRI 3-4 months from now just to rule out all possibilities.

My nephrologist thinks these levels are common for people with PLD.

My PCP recommends I stop all the extra supplements I've been taking and do labs again in 4-6 weeks to see if anything changes.

On Monday, August 31, 2020 at 1:54:55 PM UTC-4, Diane Smith wrote:

I would recommend calling your liver doctor   Mine says do not worry about it. But I have PLD with your liver diagnosis I’m just not sure. It could be something or not. Let us what is said

Sent from my awesome Gold iPhone 11

~Diane

On Aug 31, 2020, at 6:06 AM, Afshin <at....@gmail.com> wrote:



Thanks for the replies.  I had one person tell me it's possible it's from the Losartan medication I've been taking, which I've been on for about 2 years now.  I've also read that the keto diet can elevate the liver enzymes.  But if I'm to understand the enzymes get elevated regardless of being on the keto diet or not, then perhaps I should rule the diet out as being the cause.  It's just interesting to see that the spike has been more drastic over the past one year compared to all other years.  I wonder why.

On Sunday, August 30, 2020 at 1:01:54 PM UTC-4, Afshin wrote:

I'm wondering if anyone has any thoughts.  My liver enzymes have been elevated lately, and I'm wondering if it's because of the vegetarian-keto diet that I've been on, which I started about 4 months ago.

Specifically, these are the liver enzymes that have been increasing more drastically ever since I started the diet.  I had two lab tests done this month, 2 weeks apart:

-Alanine aminotransferase (ALT) = 58 unit/L & then 67 unit/L respectively, up from 43 unit/L 6 months before.

-Alkaline phosphatase (ALP) = 185 unit/L & then 217 unit/L respectively, up from 117 unit/L 6 months before.

-Aspartate aminotransferase (AST) = 43 unit/L & then 46 unit/L respectively, up from 33 unit/L 6 months before.

-Bilirubin Direct = was 0.34 mg/dL, outside the reference range of <=0.18 mg/dL.

I came across some articles that mentioned that the Keto diet could cause liver enzymes to elevate.  I'm considering taking myself off the diet, but I'm not sure yet.  Thought I'd hear if others have had similar experiences and what they did to correct their enzyme levels.

Thanks,

Afshin

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[Diane Smith]

I was also told to stop all supplements and to repeat the tests

 

Sent from my awesome Gold iPhone 11

~Diane

On Aug 31, 2020, at 9:42 AM, Afshin <at.m...@gmail.com> wrote:



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[PLDiane]

Liver enzymes, tolvaptan raises liver enzymes, Not sure about the Keto clinical trail.

I have my own liver enzymes checked each time I go to the doctors and I ask them what this means. My own billrubin was elevated. I avoid avocado, cheese, any fatty products, This has corrected this.

~Diane