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What's your best guess? High ALT, falling AST, etc...
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What's your best guess? High ALT, falling AST, etc...

Last week I had a gallbladder attack that sent me to the ER for meds. U/S showed many small gallstones and dx was that I probably passed one. Also, I have auto-immune thyroid disease... Secondary finding:

AST: 5XX
ALT: 353

wow. So a day later, we retested, this time with ANA, SMA to r/o auto-immune hepatitis.

AST: 100
ALT: 373
ANA: high/positive
SMA: negative
ALK: (67) normal

Tests on 11/20/09 showed normal ALT/AST - I get them done twice yearly by my thyroid endocrinologist...

I thought SMA negative was a rule-out, but I'm not sure. And I thought ALK would be high with AIH (although it was up from 50-something from 11/20/09) Can this be due to gallstones? What do you all think?

Now they want a liver biopsy to r/o auto-immune hepatitis... I'm stressing out!!!
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