ALT and tx

[Diana66]

I know that maybe this topic has been discussed before, but right now I am freaking out really

So here it is

Base line ALT: 118 , range here is 0-45, started tx on 1 Nov

24-Oct 14-Nov 26-Nov 12-Dec 27-Dec 16-Jan 23-Jan 20-Feb
118 61 33 21 12 23 18 33

So today's results are 33 ??????? What the....???? Sure is still in limits but is an up trend from what I am seeing so I am not very confident right now

The only think I can think of is that on Mon I threw up all day long, but why would that be a reason for the ALT to go up

I am sooo thinking that the virus is raising its head again. I was feeling really good in december despite all the low blood counts but since mid jan I feel that something is not quite right.

Am I paranoid? Why would ALT go up in such a way?

[ceanothus]

Yep, you are being paranoid, but it comes with the territory. I had the same thing happen to me during tx and I freaked out too. I was still UND at EOT and UND 9 weeks after EOT, so hopefully I will still be UND at my 24-week EOT test (coming up in 3 weeks now), and you will probably be UND too. There's no gain in worrying about these things - you are already doing all you can do and if it isn't enough to kill the virus you still can't do anything else right now, so try to give your worries a rest whenever you can. We are all rooting for you!

[HappyByChoice]

Yours is a very legitimate fear that many have.  It may help to remember that there are many things that can affect your liver enzymes and that not all of them are related to TX.  That you are concerned is a good indicator that you'll stay on top of things.  Express your concern to your dr and allow them to help relieve those fears.

Bo is right... you are still in the normal range and that's a great thing!

Hang in there!!

[1swimmer]

Tx does mess with your head. I worried about this kind of stuff too.
Don't worry, be happy.
C

[Reidmusic]

I know it seems like there's always something to worry about while doing treatment. If it isn't the hemoglobin, then it's the platelets, white blood cell count, or the rash. These were things that could threaten my treatment so I had to be vigilant in monitoring them and yes, I worried plenty.
   I decided the ultimate outcome and whether I achieve SVR or not is not going to change one iota by me worrying about it. Either I'll SVR and be done; or I'll relapse and have to treat again with the new drugs.
   As long as you're sticking to the program and taking your meds properly there's really nothing else you can do except pray and hope for the best. I would agree with BoceprevirGal that maybe you could try to distract yourself somehow. The stress of worrying about a relapse due to your ALT going up a little is not going to help you. I say this as someone who's spent 100's of hours worrying about everything and finally realized that worrying about relapse is counterproductive.

[BoceprevirGal]

  The main thing here is that the ALT is in the normal range, and that is always great news. It also always fluctuates, for many different reasons.
  You have been thru SO much, since your diagnoses, but you still have such a great attitude.  I cant remember what your HGB has been recently, but when mine was low, I would have gloomy feelings like you are describing here.
    You may also be having these kind of fears, because you are almost finished taking your Incivek, the thing that got your virus undetected. I had this same feeling, when I had to stop taking my Boceprevir.
   Try not to worry, I used to distract myself by doing some cooking, trying new recipes, etc.  You are really doing great, you should be very proud of yourself~