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AR15.COM
1/31/2005 11:25:40 AM EDT
I just received a call from a biomedical research center, where I had applied to be in a study for an antiviral drug.  They decided not to include me in the study because upon analyzing my blood, urine, and vitals, they said my ALT and AST levels were too high.  What's that mean, and what are the implications?  They said they would exclude me from this and any future studies until I could get a follow up from my physician.  That worries me a little bit.  Any information would be appreciated!
1/31/2005 11:33:40 AM EDT
[#1]
those are liver enzymes, do you have a history of alcohol abuse or liver damage?
1/31/2005 11:35:23 AM EDT
[#2]
Maybe it is a tumor???
1/31/2005 11:35:47 AM EDT
[#3]
also if you could tell me what your numbers were on those it would be helpful, im not a doctor, but I am a nursing student and look at and research lab numbers like that all the time.
1/31/2005 11:36:28 AM EDT
[#4]
Those are enzymes that are typically elevated when experiencing problems with the liver.

It may be time to go visit your family doctor just to make sure everything is ok.
1/31/2005 11:37:10 AM EDT
[#5]
Extremely high alkaline phosphate would indicate a liver tumor, high AST and ALT are more associated with cirrhosis.
1/31/2005 11:39:51 AM EDT
[#6]
I didn't get the exact numbers, but I don't have a history of alcohol abuse.  I rarely drink, and by rarely I mean maybe 2-3 drinks per month.  Being only 22, I think cirrhosis sounds preposterous.  Strange...
1/31/2005 11:41:34 AM EDT
[#7]
You need to see your family doctor and get some blood work done. Get this looked into.
1/31/2005 11:41:42 AM EDT
[#8]


 If you're taking certain cholesterol meds--such as Cristol, your liver enzyme in blood will increase also.
1/31/2005 11:42:20 AM EDT
[#9]

Quoted:
I didn't get the exact numbers, but I don't have a history of alcohol abuse.  I rarely drink, and by rarely I mean maybe 2-3 drinks per month.  Being only 22, I think cirrhosis sounds preposterous.  Strange...



What many do not know --------- is cirrhosis affects non drinkers also.

Or it  may be a hepatitis related reading.
1/31/2005 11:46:27 AM EDT
[#10]
You poor bastard.....
Do you have a Religous Affiliation?
1/31/2005 11:47:07 AM EDT
[#11]
Have you noticed any change in appetite, weight loss, weight gain, fluid retention, change in bowel habits?
1/31/2005 11:48:24 AM EDT
[#12]

Quoted:
You poor bastard.....
Do you have a Religous Affiliation?



Come on man, don't freak the guy out. It could be nothing, it could be something, just be safe and get it checked out.
1/31/2005 11:51:05 AM EDT
[#13]
well days before the screening, i ate mostly protein, very little carbohydrates.  i was trying to shed a few lbs so that i would be within the BMI requirement for the study.  also, I had a chocolate exlax to void myself of any excess poundage before my weigh-in

would any of that have anything to do with it?  
1/31/2005 11:52:46 AM EDT
[#14]

Quoted:
well days before the screening, i ate mostly protein, very little carbohydrates.  i was trying to shed a few lbs so that i would be within the BMI requirement for the study.  also, I had a chocolate exlax to void myself of any excess poundage before my weigh-in

would any of that have anything to do with it?  



Do you have a medical condition that makes this study so important to you?  That seems a tad extreme.
1/31/2005 11:53:22 AM EDT
[#15]
Heh, nah.  But it was $1400 for 4 days, so it was attractive.
1/31/2005 3:38:03 PM EDT
[#16]
Since, doctors kill more people than guns, I would avoid seeking proper medical advice.

Sorry, this forum just kills me with all the anti-doctor BS followed by "Damn, there's something wrong with me: "Doctors, Help!!"



Seriously though, go see your family doc. Most tests are meaningless in isolation. ALT and AST are liver enzymes but that alone does not mean too much. You need advice from a physician, I would not freak out but I would be on the phone in the morning.
1/31/2005 3:45:03 PM EDT
[#17]

Quoted:
Maybe it is a tumor???




it's not a toomah
1/31/2005 3:47:28 PM EDT
[#18]
I would start taking Liverite ASAP and get your values shecked once a month.  I'm no doc, but mine were elevated on time due to workout supplements and the Liverite really helped out.
1/31/2005 3:50:51 PM EDT
[#19]

Quoted:
well days before the screening, i ate mostly protein, very little carbohydrates.  i was trying to shed a few lbs so that i would be within the BMI requirement for the study.  also, I had a chocolate exlax to void myself of any excess poundage before my weigh-in

would any of that have anything to do with it?  



Yup, that could contribute. If you do the high protein thing, also hydrate like hell.

Elevated liver function tests can be something, or nothing. Go see your family doc instead of depending on advice from the likes of me.  
1/31/2005 3:53:43 PM EDT
[#20]
Get it checked out soon.  Put your mind at rest.
1/31/2005 3:57:06 PM EDT
[#21]
AST:  Normal Range is 7-40 (in micrograms/liter)
ALT: same.

Per Maxwell.

ALT--Alanine Aminotransferase.  An enzyme that is normally present in liver and heart cells. ALT is released into blood when the liver or heart is damaged. The blood ALT levels are thus elevated with liver damage (for example, from viral hepatitis) or with an insult to the heart (for example, from a heart attack). Some medications can also raise ALT levels. ALT is also called serum glutamic pyruvic transaminase (SGPT)


AST--Aspartate Aminotransferase  : An enzyme normally present in liver and heart cells. AST is released into blood when the liver or heart is damaged. The blood AST levels are thus elevated with liver damage (for example, from viral hepatitis) or with an insult to the heart (for example, from a heart attack). Some medications can also raise AST levels. AST is also known as serum glutamic oxaloacetic transaminase (SGOT).

So, first and foremost--don't freak out.  The ExLax might have even raised your levels, along with multiple other medications.
Secondly--without firm numbers, it is hard to tell how elevated you are.  You may "live" at the high end of the range all the time (that is why normal is given as a range), or even just out of the range (the range is a bell shaped curve, with most people falling within a certain # of standard deviations, and a few falling outside those limits naturally).
Thirdly--you don't know what the cutoff for te study is.  You may have an AST and ALT of 21 (still in "normal" range), but the study may have cut people off at 20.

That being said, it is still a good idea to get checked out by a doctor to verify there is no underlying problems that raised the enzyme levels.    

AFARR