What Must I Do About Deranged Liver Function, Vitamin-D Deficiency And Elevated Homocysteine Value?

Posted on Tue, 17 Jul 2018

Tue, 17 Jul 2018 Answered on

Thu, 17 Feb 2022 Last reviewed on

Question : hi doctor I am attaching my health check report. Pls let me know. 1. what are risk items in this. 2. How critical are these. 3. what preventive measures and medicine should I start 4. what is overall condition. 5. should i go for some other tests? I am vegetarian but do drink 4 to 5 times in a week.

Answered by Dr. Dr. Prasad J (2 days later)

Brief Answer:
Deranged liver functions...

Detailed Answer:
Hi,

Thanks for providing details. I went through them with diligence. Now, all the reports are unremarkable except for three significant findings:

1. Deranged liver function tests. There is moderately elevated total and unconjugated bilirubin values. This kind of change is seen with an enzyme deficiency, the enzyme which metabolizes bilirubin It won't cause you any trouble. However besides bilirubin values, the liver enzymes ALT, SGPT as well as SGOT are also raised.
You should consider consulting a gastroenterologist who can evaluate further. In then meantime, avoid taking unnecessary medications and alcohol if any.

2. Vitamin D deficiency. Vitamin D deficiency is very common in Indian's. It doesn't cause immediate health concerns. However over a period of time it might affect bones. I would start vitamin D correction. Supplement like D rise 60000 IU once a week for 6 weeks will benefit you. Discuss with your treating doctor.

3. Elevated homocysteine value. It risks you to atherosclerosis, strokes and cardiovascular conditions if unattended. Starting folic acid supplements is helpful in lowering homocysteine values. Discuss it with your doctor.

Besides these 3 all other parameters are unremarkable.

Hope this helps. Let me know if you need clarifications.

Regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar