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Dr. Andrew Rynne
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Dr. Andrew Rynne

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I Am 41 Year Old Type2 Diabetic Had Pain In

I am 41 year old type2 diabetic had pain in the stomach, diagnosed as gallbladder sludge and grade2 fatty liver,. I am non alcoholic, vegetarian, asked me to take ursodeoxycholic acid 450mg SR tablet twice a day,. have reduced my weight form 82kg to 80kg in three months of time,. following strict diet, that is avoiding sweet,. elevated SGOT and SGPT levels are now normal but not with alkaline phosphatase level which is showing 290,.. plz suggest me to reduce this issue,.
Mon, 17 Feb 2014
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Diabetologist,  's  Response
Hi, welcome to our site. I am Dr Saumya Mittal.

Read your query. That is a very significant question and i appreciate your problem. I will try my best to answer your query

the fact remains that fatty liver involves all the enzymes of liver- sgot sgpt, alp and ggtp. Now you say that the SGOT and SGPT have reduced, but ALP remains high. What I want to know is has it reduced at all or has there been no change.

If there has been a reduction in the levels of ALP, you need not worry. Just continue your medicine. And get a repeat test in 20-21 days. May happen that by then the enzymes will improve. ALP always takes longer to normalize.

If the levels are the same or increased, you may try other additional components like silymarin and methylcobal. Usually these come in combination medicines, so you can meet your doctor and get a combipill.

Finally you should know that ALP is produced from liver as well as the bone. So in case you have any bone pain or bony issues, that may affect ALP too. So let us know about that

I hope you have had your lipid profile checked as well

I hope this helps you. Inform the reports mentioned above so i can be of help further. Best of luck.

I have given you the answer to the maximum considering the information provided. The results of the tests could further enhance my answer to you.

Please do understand that some details could be extracted from a detailed history and examination.

Looking forward to your return query with the details asked so that I can help you further.
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I Am 41 Year Old Type2 Diabetic Had Pain In

Hi, welcome to our site. I am Dr Saumya Mittal. Read your query. That is a very significant question and i appreciate your problem. I will try my best to answer your query the fact remains that fatty liver involves all the enzymes of liver- sgot sgpt, alp and ggtp. Now you say that the SGOT and SGPT have reduced, but ALP remains high. What I want to know is has it reduced at all or has there been no change. If there has been a reduction in the levels of ALP, you need not worry. Just continue your medicine. And get a repeat test in 20-21 days. May happen that by then the enzymes will improve. ALP always takes longer to normalize. If the levels are the same or increased, you may try other additional components like silymarin and methylcobal. Usually these come in combination medicines, so you can meet your doctor and get a combipill. Finally you should know that ALP is produced from liver as well as the bone. So in case you have any bone pain or bony issues, that may affect ALP too. So let us know about that I hope you have had your lipid profile checked as well I hope this helps you. Inform the reports mentioned above so i can be of help further. Best of luck. I have given you the answer to the maximum considering the information provided. The results of the tests could further enhance my answer to you. Please do understand that some details could be extracted from a detailed history and examination. Looking forward to your return query with the details asked so that I can help you further. (If the answer has helped you, please indicate this)