My LFTs results

[Dimidine]

I tested positive to Hep B six months ago, and it appears chronic since I still came out positive in my latest test.

However, my latest LFTs, done this morning, show this result:

AST  41 IU/L
ALT  19 IU/L
GGT   31 IU/L
ALK. PHOS. 20

Compared to what I had about two months ago:
AST   27 IU/L
ALT   39 IU/L
GGT   39 IU/L
ALK. PHOS. 44


Please how severe is my current condition? What do I do to bring these figures down. I live in Nigeria.
Thanks

[Dimidine]

Thanks very much. I really appreciate this. I will go and see my Doc and probably do another test next week by God's grace.

[mikesimon]

I am not a doctor or in the medical profession. I have had liver disease so I have learned a few things. But, my best advice is to discuss this with a physician.

The changes do not appear significant to me. Your ALT came down a little but it wasn't high 2 months ago. ALT is the most specific enzyme for liver disease. The reference range on my lab sheet shows 9 - 60 so your number 19 is nice and normal.

Your AST is slightly elevated. The reference range on my lab sheet shows the range to be 10 - 35.

Your GGT is also within normal range.

Your alkaline phosphatase was a bit low 2 months ago but your recent labs show it is just slightly under the reference range I have. The low normal is 44. With liver disease we are generally concerned with a high alkaline phosphatase. A low number often is seen in malnourished patients or patients who are protein deficient. You should know if this applies to you.

I am not aware of anything you can do to bring your liver enzymes down other than to lead a healthy lifestyle. I think abstinence from alcohol and tobacco would be prudent. A healthy diet containing fruits and vegetables would also be a good approach.

I do not think that a doctor would find that your blood work indicates significant inflammation or ongoing liver damage but only a doctor can relieve your anxiety.

Again Dimidine - please see a doctor about this and preferably see a hepatologist (liver specialist). Most people with Hep B live a long life. Some infected people can benefit from treatment that will slow down the virus and the rate of damage to the liver. Not all infected patients are advised to treat but some are advised to treat and the treatment can be very beneficial in those patients. You should discuss this with your doctor. You might also ask about the advisability of getting vaccinated against Hep A because Hep A can be more dangerous in a hep B infected person.

I wish you good luck.

Mike