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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Have Lab Result. Can I Ask A Doctor Online To Help Me In Reading?

I want to control my lever enzyme level very soon to get clear in medical examination in the end of this month My details are as follows : SGOT 60 IU SGPT 90 IU cholestrol 230 mg % HDL cholestrol : 55 mg % LDL cholestrol : 150 mg % Triglyceride 150 mg % Total Lipid : 499 mg% Haemoglobin 13.2% Total WBC count : 7100\cu.mm Polymorph 66 % Lymphocytes : 30 % Monocytes : 01 % Anti hepatities C : Negative Australia Antigen (HBSAG) : Negative Uric Acid : 7.3 mg/dl Anylase serum : 110 Thyroid Profile : T3 total : 1.0 ng/ml T4 total : 7.3 ug/dl TSH : 1.56 uIU/ml I am taking medicine since last five months but there is no decrease in SGOT and SGPt profile. Lever was also found oK during ultra sound. I am using following medicines Tab : ATORIN F ( Atrovastatin 10mg and Fenofibrate 160 mg) Tab : Livolexin Cap : Adliv forte So please suggest me, how to control SGOP and SGPT. Regards Arun choudhary Mobile No. 0000
Thu, 16 May 2013
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Internal Medicine Specialist 's  Response
Hi,
Welcome to HCM,
I have gone through your investigations and details, you must understand that treatment of liver enzymes depends on cause, in your case if you was having high level of cholesterol and triglyceride you are taking statin and Fenofibrate combination please discuss with your treating Physician if there is no other cause like use of alcohol, viral hepatitis or any autoimmune disease then the drug it self may be cause of mild rise in liver enzymes.
If your triglyceride is only 150 you can take plain atorvastatin and stop fenofibrate as combination drug more toxic to liver.Even dose of statin may be reduced to half.
All liver supplements efficacy is questionable so visit a good Gastroenterologist/Internal medicine specialist and discuss your problem and may stop all such supplements like Tab : Livolexin Cap : Adliv forte.
Hope this helps.
Take care.
Good Luck.
Dr. Akhilesh Dubey. M.D

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Have Lab Result. Can I Ask A Doctor Online To Help Me In Reading?

Hi, Welcome to HCM, I have gone through your investigations and details, you must understand that treatment of liver enzymes depends on cause, in your case if you was having high level of cholesterol and triglyceride you are taking statin and Fenofibrate combination please discuss with your treating Physician if there is no other cause like use of alcohol, viral hepatitis or any autoimmune disease then the drug it self may be cause of mild rise in liver enzymes. If your triglyceride is only 150 you can take plain atorvastatin and stop fenofibrate as combination drug more toxic to liver.Even dose of statin may be reduced to half. All liver supplements efficacy is questionable so visit a good Gastroenterologist/Internal medicine specialist and discuss your problem and may stop all such supplements like Tab : Livolexin Cap : Adliv forte. Hope this helps. Take care. Good Luck. Dr. Akhilesh Dubey. M.D