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Avatar universal

liver rejection...

I understand that the first sign of liver rejection is elevated liver enzymes. However will an increase in Prograf (per the transplant team to 2mg 2x daily to 3mg 2x daily) help immediately, or does it take weeks? How soon is a liver biopsy scheduled once the liver enzymes begin to increase???

The Alk phosphate more than doubled and ALT went up 8x more than it was just 4 days prior.

AST - Today 43 & Monday 12 (normal range is 7-40)
ALT - Today 104 & Monday 45 (normal range 0-45)
ALK phosphate - Today 176 & Monday 68 (normal range 40-150)

FYI...Been taking antibiotics for Diverticolitis (levofloxacin 500mgs 1x daily metronidazole and 500mg 3x daily). Can antibiotics elevate liver enzymes???
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517301 tn?1229797785
MEDICAL PROFESSIONAL
sorry for the delay in answering as there was a server problem

rejection is almost always asymptomatic--antibiotics could also cause the liver tests to rise in this pattern
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Avatar universal
Opps...I forgot to include that the GGT level increased to 150 (normal range 0-35).
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