I am undergoing evaluation to donate a kidney to brother with diabetes. As part of my workup they did a series of liver tests to check out an elevated biliruben condition that I have had since childhood (Gilbert's syndrome). My first set of bloodwork came back with an elevated T-bili (1.5), elevated SGPT (55) and normal SGOT, ALP, GGT. A second set of blood tests were ordered which came back with the still elevated t-Bili (1.4), but now normal SGPT (also normal SGOT, ALP, GGT. However, the AMA level was slightly elevated (20.3, reference range is 0-20.0). All the hepatitius tests came back negative as did the ASMA. The PT-INR levels were low (1.0), however. An ultrasound of the liver was negative for Fatty liver disease. My docotr seems very concerned about the AMA results and a possible case of PBC now or in the future and is suggesting not moving ahead with the kidney donation. I am asympthomatic for any liver issues and do not know how to interpret these results. Any guidance appreciated.
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