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Post Info TOPIC: Ever wondered how can liver enzymes stay so low, while interferon & RIBA toxins go in??


Guru

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RE: Ever wondered how can liver enzymes stay so low, while interferon & RIBA toxins go in??
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Hi Margo, Retired Radiologist, specialising in upper abdomen imaging. Since 1990, attended every meeting I could about HCV.



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Geno 1b, IL28B CT,  x3 prior relapser,  ex-cirrhotic, 75 yo, did 48 weeks with Victrelis/Peg./Riba.  VL 1.28m at start, UNDET. at 8 ,12 ,16 ,24 ,30  and 48 weeks.  EOT 15 Feb 2013 , UNDET. at EOT + 28 weeks. SVR!  Still Undet. at EOT +5 years

Malcolm



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Mallani you are a pro, medical background?

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Geno 1b, relapsed in 2009 a week before my treatment was to be over. Started triple therapy on April 28th, 2012. UND at week 4,8,12,24,3 months post tx.



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My enzymes were always about triple the normal range. 4 week blood test since i started treatment the are in normal range..



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58 yo..Relapsed in 99 and again in 2004. Started triple therapy with Victrelis July 22,2012.  genotype 1a. week 8,12,16,24 VL Undetectable..E.O.T -- 6-22-2013,,,EOT + 24., UND. 

SVR !!!

 

~Bob~



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The normal range for AST and ALT is 5-45 (depending on lab.) . These enzymes are released from hepatocytes as a result of liver cell damage or death. Chronic HCV often causes mild elevation of enzymes. However this is very variable, and even cirrhotics can have normal enzymes, so this is not a test of liver function. More reliable tests are albumin, prothrombin time, bilirubin and alkaline phosphatase. Mild fatty liver and many drugs can cause elevated enzymes. So, liver function may be entirely normal even with elevated enzymes.



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Geno 1b, IL28B CT,  x3 prior relapser,  ex-cirrhotic, 75 yo, did 48 weeks with Victrelis/Peg./Riba.  VL 1.28m at start, UNDET. at 8 ,12 ,16 ,24 ,30  and 48 weeks.  EOT 15 Feb 2013 , UNDET. at EOT + 28 weeks. SVR!  Still Undet. at EOT +5 years

Malcolm



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Margo, I've wondered the same!!!  At Week 2 of tx, my liver enzymes fell to within normal range and remained. 

AST has been 36, 23, 22, 27, 21, 19.

ALT has been 50, 44, 17, 16, 16, 11, 28, 23, 32, 16.



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Geno 1a; VL 4.7 million in Feb 2012. Started PegIntron & Ribavirin 3-9-12. Added Victrelis 4-6-12. UND since Week 8. Stopped tx Wk 23. UND 4 Wks post-tx. Relapsed 12-weeks-post.

52 y/o F, started Epclusa 11-10-19, F0/F1.  EOT 2-1-2020. UND. All liver function tests normal.



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My liver enzymes are 18! How can liver detox So much crap?

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Geno 1b, relapsed in 2009 a week before my treatment was to be over. Started triple therapy on April 28th, 2012. UND at week 4,8,12,24,3 months post tx.

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