abnormal liver results

[babygirl4075]

Hi Dr. Hopefully you can answer some questions for me... I have been on statins from the age of 39 from one Med to another because my numbers would not come all the way down to normal I got a new Dr last year and he changed all my meds, started with lipitor 40mg vit d 50.000 units a weeks allopurinol. 300mg fenofibrate 200mg lisinopril 5mg twice a day and this was 7/11 I express muscle pain I have already been having from other meds he said it is a side affect but will f/u in 10/11 so i went for blood work and f/u with the Dr he said my numbers ha not came down much so we will go to 80mg of the lipitor I expressed my concerns about the high dose and I have been have muscle pain more often we headaches and he says the blood work doesn't show any problems with the liver so lets try, and I will see you next year for a f/u so 2/21/12 I go for blood work and he calls me on the phone and says what's going on 2/24/12 I said what do you mean, he says your blood work has a abnormal liver results I said what does it mean, he said are you still taken the lipitor I said yes every night he said have you had any alcohol I said yes 2/20/12 I went  out to dinner and had 2_beers and my muscle pain is more server and I have problems sleeping and this headaches I'm having and problems forgetting he 1st said STOP the lipitor then said don't have any alcohol and see me 3months also again he said my cholesterol levels still high, so i got scared and called lab Co got my results in hand and alt is 51 and ast is 51 cholesterol 261 and trigly 304 hdl 24 ldl 176 and vldl 61 so my friend said you need another Dr so 3/5/12 I saw another Dr took a battery of blood work f/u 3/12/12 and was given a copy of labs and was told it was negative for hep and HIV and cholesterol was same biliribin was negitive also BUT ggt 138 and ast is now 88 and alt is 118  and my ekg was abnormal so i have a refferal to have a ultra sound on my liver an see a heart Dr IM SCARED any advice will help

[Thomas D Schiano, MD]

getting the ultrasound is a good idea.  you could have a touch of fatty liver.  its not unusual for the liver tests to rise somewhat while taking statins and this itself is not a contraindication to using the medicine. your docs should come up with a reason for your muscle symptoms which can clearly be related to the statin use.

[Thomas D Schiano, MD]

good luck--you should be fine

[babygirl4075]

Thanks so much again for your advice, I had the ultrasound today and I go for the results 3/22/12 I don't think I'm over weight 156 lbs and I'm 5_6 and a half tall I do not have diabetes, But I do have high triy and cholesterol with my numbers I have mention before above this do you think it very serious... I never had elavated ast or alt until I started the lipitor, and thanks again for all your advise....

[Thomas D Schiano, MD]

if it is fatty liver the treatment is weight loss if you are overweight, as well as adequate for diabetes and high cholesterol. You may have to stay on a lower dose of the statin. Severe liver damage is extremely rare from statin use.

[Thomas D Schiano, MD]

if it is fatty liver the treatment is weight loss if you are overweight, as well as adequate for diabetes and high cholesterol. You may have to stay on a lower dose of the statin. Severe liver damage is extremely rare from statin use.

[babygirl4075]

Thanks for the advice, I got for the test ultrasound to arrow morning.is a fatty liver very serious nd what can be done for it. I have always been monitored every 3_4 months with blood work and he put me on this lipitor 7/11 and I complained about the ide effects and he still increased it in 10/11 because he didn't see liver damage to 80mg from 40mg along with the 200mg of fenofibrate. Now it show enzymes have increased 3/5/12 and then 3/12/12 they have doubled if I went by his word and waited another 3_months to see him I wonder what would have happen then I am so glad I took my friends advice and went to another Dr and that I also met you.. can you please advise me what to do and not do