Hi, I have a question about lab results I recently got. I am a 27 year old female and have been a very heavy drinker on and off for 8 years, with this past year being the worst. I began experiencing hair loss during the fall, so I finally went to a clinic in January. They tested my liver function, which turned out to be normal. However, my MCV value was 103.4, and my transferrin level was really low. I understand that usually iron is high with low transferrin, and that's anemia of a chronic disease. I'm concerned that the low transferrin and high MCV can be a sign of liver disease. How indicative are those values of liver disease? I am going to see an internist next week, but I am so scared and want to know how serious those two particular values are. I understand you can have cirrhosis and normal liver function values. I would really appreciate your opinion. Here are my results. Thanks so much!
MCV - 103.4 (normal range: 81-99) *I know this can be a direct result from heavy drinking or it can indicate liver disease. My vitamin b-12 levels are good, so I know that's not the other possible cause.
Vitamin b-12 - 628 (normal range: 180-914) - so, this leaves the only causes for my macroblastic anemia being liver
disease or heavy drinking alone
Ferritin - 61 (normal range: 11-306.8)
Iron - 33 (normal range: 65-175)
Transferrin - 187 (normal range: 250-380) *this is especially concerning because I know that low transferrin can indicate anemia of a chronic disease, most likely liver disease. I can't really find any other explanation other than kidney problems or autoimmune disorders.
Liver function test:
AST - 26 (normal range: 8-40)
ALT - 29 (normal range: 7-35)
Alkaline Phosphatase - 36 (normal range: 38-126)
Bilirubin, total - 0.6 (normal range: 0.4-2.0)
Protein, total - 7.6 (normal range: 6.4-8.3)
Albumin - 4.7 (normal range: 3.5- 4.8)
alcohol can cause this and not have resulted in cirrhosis. check your platelet count to make sure that it is not low. i highly doubt that you have cirrhosis--the docs should get an imaging study such as a sonogram or CT scan. Clearly you must stop drinking to excess. good luck.
The Content on this Site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. It is not intended to be and should not be interpreted as medical advice or a diagnosis of any health or fitness problem, condition or disease; or a recommendation for a specific test, doctor, care provider, procedure, treatment plan, product, or course of action. Med Help International, Inc. is not a medical or healthcare provider and your use of this Site does not create a doctor / patient relationship. We disclaim all responsibility for the professional qualifications and licensing of, and services provided by, any physician or other health providers posting on or otherwise referred to on this Site and/or any Third Party Site. Never disregard the medical advice of your physician or health professional, or delay in seeking such advice, because of something you read on this Site. We offer this Site AS IS and without any warranties. By using this Site you agree to the following Terms and Conditions. If you think you may have a medical emergency, call your physician or 911 immediately.