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Liver transplant: high liver enzymes
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Liver transplant: high liver enzymes

My mother who never had HCV and who had liver transplant about 2.5 years back has been running very high elevated liver enzymes for the last one year. When her doc increases dose of anti-rejection medicines, all her liver enzymes level come down to normal level for, say, a month period - except for GGT which does come down but still settles much higher than normal range. Today I showed her to chief of another transplant team in another hospital, he says enzymes - after increased dose - even though come down but since they settle above normal this is "definitely" due to - what he calls - "bilobe" problem in liver. He has ordered MRCV test to her. Later, he says, he also wants to try biopsy
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this is not an unreasonable approach.  I think a liver biopsy may be warranted to exclude rejection as a cause of the abnormal liver tests.
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Thomas D Schiano, MDBlank
The Mount Sinai Medical Center
New York, NY
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