elevated liver enzyme level, normal FT4 - Question and Answer Forum - Elaine Moore Graves' Disease and Autoimmune Disease Education

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Wednesday, February 08, 2012

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Welcome to The Q&A with Elaine Moore. Registered members are invited to ask any question of Elaine Moore on autoimmune diseases, Graves' disease, other thyroid diseases and subconditions, laboratory work, traditional and complementary medicine, triggers and environmental influences, thyroid and immune disorders in pets and animals, and other relevant areas of inquiry.

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elevated liver enzyme level, normal FT4

2/9/2010 12:20 PM

chonkore

Joined: 1/16/2010

Posts: 7

elevated liver enzyme level, normal FT4

Just called the nurse and got my new lab. Below is my new lab and last lab.

     01/07/10       02/05/10
FT4:   3.76           1.25        [range 0.73 - 1.95]
FT3:   13.7           4.5         [range 2.3 - 4.2]
TSH:   <0.1           <0.1       [range 0.3 - 5.1]

02/05 result shows that one liver enzyme, SGPT, is high. My value is 91 and range is 7 - 56. My CBC and Liver panel were fine as of 01/05.

My result at 11/29/09 diagnosis was

FT4: 5.4 [range 0.58 - 1.64]
TSH: 0.03 [range 0.34 - 5.60]

I was prescribed MMI 20 mg a day, starting 12/14/09. I took it twice a day, 10 mg morning and night. Started having allergic reaction (hives) starting 01/01/10. Taking Zyrtec and Benadryl to relieve symptons and they worked. Stopped taking MMI from Jan 5 to Jan 14, 2010. Started taking mmi again on 01/15 and this time I reduce the dose to 15 mg a day and divide it to 3 times a day and I take zyrtec, benedryl, and Inderal as well. I do not have hives any more.

Should I reduce MMI dosage again? To how much? And what should I do with the elivated liver enzyme? Thanks a lot!!!

2/9/2010 5:02 PM

Elaine

Joined: 8/1/2008

Posts: 3174

Re: elevated liver enzyme level, normal

Hi There,

Your FT4 fell nicely on your 15 mg and FT3 is just about in range. Since your dose is based on your FT4 level, your doctor will probably have you decrease the dose to 10 mg and continue on this dose until your next labs.

Because your ATD can cause your liver enzymes to rise, you'll see a fall in the liver enzyme level from reducing your dose if it's the cause. Since most meds are metabolized by the liver, lowering some of the other drug doses (or stopping them since your hives went away) will also help lower your liver enzyme level.

Best to you, Elaine

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elevated liver enzyme level, normal FT4

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