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Ask Dr Chip (M.D.) Your Own Question
Dr Chip (M.D.)
Dr Chip (M.D.), Doctor
Category: Medical
Satisfied Customers: 32717
Experience:  20 yrs. in practice, includinge surgery, general medicine, addiction medicine and pain.
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Regarding High cholesterol & elevated liver enzymes, Okay, I

Customer Question

Regarding High cholesterol & elevated liver enzymes
JA: Do you know if your family has a history of heart disease? In general, how would you describe your health lately?
Customer: Okay, hi I don't know how this service works. Basically, we recently moved and I went to a new doctor. They ran blood work, and my lab results came back with LDL cholesterol in the very high range at 212, SGOT (AST) is 53 and SGPT (ALT) is 130....these numbers are very much out of the range of normal. It has been two weeks and the doctor's office will not call me back regarding what these numbers mean and what I need to do about them. I will be switching doctors, but I am really trying to get some answers right now.
JA: Anything else in your medical history you think the doctor should know?
Customer: no that is all
Submitted: 1 month ago.
Category: Medical
Expert:  Dr Chip (M.D.) replied 1 month ago.

Hello I'm Dr Chip

Have these liver enzymes been elevated in the past?

Customer: replied 1 month ago.
Not as far as I know. I had lab work down last year, and the doctor did not mention elevated liver enzymes at that time. I do not take Tylenol or drink alcohol (at all) which is what comes up when I google elevated liver enzymes.
Expert:  Dr Chip (M.D.) replied 1 month ago.

Any problems with abdominal pain?

Customer: replied 1 month ago.
none
Expert:  Dr Chip (M.D.) replied 1 month ago.

OK

Your levels aren't high enough to suggest hepatitis A, B, or C

But when we take in the high LDL you probably have what's called fatty liver syndrome or steatohepatitis.

That's not a viral hepatitis but it involves fatty deposits in the liver

My next step, were I your doctor, would be a liver ultrasound to check that out.

It's not as serious as it might sound.

It can be treated with proper diet and, if needed, weight loss, and with a statin like Crestor for the cholesterol

Please let me know if you need any more information

Customer: replied 1 month ago.
how does something like that happen? I am not overweight, my tryglicerides are within normal range. Could it be simply from poor diet and genetics?
Expert:  Dr Chip (M.D.) replied 1 month ago.

It can sometimes be poor diet but it isn't a genetic disorder

High cholesterol levels can be one cause

Insulin resistance or pre-diabetes can also be associated with it