ALT and AST results

Hi,

I had a liver panel done a year ago. I just recently had another series of tests done (different doctor) and I am confused.

Please help me decipher these values;

Tests done on 08/29/2009
ALP-97
ALT-110
AST-103
Bilirubin Total-0.8
Hep B Core Antibody Total-Positive
Hep B Surface Antibody-Positive
Hep B Surface Antigen-Negative
Hep C Antobody-Negative
A1C-6.6

Tests done on 09/28/2010
ALP-102
ALT-139
AST-165
Bilirubin Total-0.7
Hep B Core Antibody Total- Not Repeated
Hep B Surface Antibody- Not Repeated
Hep B Surface Antigen- Not Repeated
Hep C Antibody-Not Repeated
A1C-7.4

My values for the AST and ALT are increasing. I know that I do not have an active Hep B infection, but my enzymes seem to indicate liver damage (I think that I am interpretting it right).I think that I am not contagious. My kids are all vaccinated, my husband was not. He just finished his last of the three shots he needed so now I am guessing he is not protected.

My platlets, WBC and RBS are on the higher end of the normal range. I am type 2 diabetic,

My big worry is that the Hep B infection that happened in the past, damaged my liver. My bigger worry is that my enzymes are increasing. Is there intervention that needs to be done? I am worried that I may have too much iron in my blood causing my values to go up.

Please let me know what your thoughts are. Should I be worring about Hemochromadosis or Chronic Hep B?

Help :-)

[stef2011]

I am type 2 diabetic,
diabetes is the highest risk for liver cancer much much more than hbv, make regular liver checks by ultrasound every 6 months, as to liver damage due to hbv it is very difficult because acute hbv makes no fibrosis and no liver damage dispite high alt, you might only have occult hbv which is not very common and usually makes just slight increase of alt not like yours

if you eat fat and bad quality industrial food you might have fatty liver disease which is same as hbv and leads to liver cancer and cirrhosis, ultrasound can detect fat content in the liver so you will know if this is the cause

if you take drugs that also might be the cause, almost all drugs make liver damage and kidney damage if taken continuativelly, there are very few drugs without toxicity on liver/kidneys

[stef2011]

check for:
hbvdna pcr for occult hepatitis, sensitivity of the test must reach values as low as 1-10iu/ml

test for fatty liver disease by ultrasound

if both negative check also for other hepatitis viruses:
hav, hev, hgv

[cajim]

Do you drink?  Do you have symptoms?

[stef2011]

I am type 2 diabetic,
diabetes is the highest risk for liver cancer much much more than hbv, make regular liver checks by ultrasound every 6 months, as to liver damage due to hbv it is very difficult because acute hbv makes no fibrosis and no liver damage dispite high alt, you might only have occult hbv which is not very common and usually makes just slight increase of alt not like yours

if you eat fat and bad quality industrial food you might have fatty liver disease which is same as hbv and leads to liver cancer and cirrhosis, ultrasound can detect fat content in the liver so you will know if this is the cause

if you take drugs that also might be the cause, almost all drugs make liver damage and kidney damage if taken continuativelly, there are very few drugs without toxicity on liver/kidneys

[stef2011]

in case of drug intoxication or fat liver disease antidiabetes drugs help, and also antioxidants in high dose like NAC, vitamin C, vitamin E and so on

the cure of fatty liver disease is diet, healthy food, antioxidants

[AkenaKai]

cajim - I haven't had a drink in 17 years. No drugs and no cigarettes.

stefano170669  - Thank you so much for your post. You have helped me tremendously.

Aloha, Athena

[cajim]

Could be other than HBV.