[Question #5307] Follow up

21 months ago
Hi dr. Just wanted to follow up from my previous post. I took 4th gen duo at 42 days and it came back negative. (Like you said it would)  At time of testing I had a full blood panel done and my AST was at 51 and my ALT was at 89. To my understanding these are liver enzymes and they are particularly out of range. I know you said no medical conditions impact tests but I was just curious if that could be an exception? My primary said the elevation could be a result of all the antibiotics I've been on. Would really appreciate any feed back and will take your word as gospel. Thank you. 
H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
21 months ago
As discussed lat time, your previous test results already were conclusive. We also discussed that there are no medical conditions that have any effect on HIV test reliability. It included strong statements, including an online "shout" (bold, all caps) about NO medical conditions having any effect on HIV test reliability. Of course that applies to your liver function tests. FWIW, I'm a bit skeptical about antibiotics causing those enzyme elevations and would be concerned about other explanations. AST 51 is only slightly elevated, but ALT of 89 is more concerning and should not be ignored. But it has nothing to do with HIV or your HIV test results.

HHH, MD
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21 months ago
Thanks for your response dr. Not my intention to make you online shout, but I understand it's to get the point across. Appreciate this forum and this access to a great mind such as yours and I will move forward from at least the hiv anxiety. Hope I can get some answers as to the elevated liver enzymes and I am currently in the waiting room of a gastro as we speak. The enzymes were elevated last week, and yesterday while I was in the er for dehydration they ran my blood again and it seemed to have leveled down to 50. I will keep monitoring it. Thank you again. 
H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
21 months ago
Best wishes and stay safe. Good luck on the liver business.---
21 months ago
Just to keep you posted dr. The GI said gallbladder. Might be gallstones. Still in the clear right? NO medical conditions? 
H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
21 months ago
I'm not going to repeat the same words yet again!

That concludes this thread. I hope the discussion has been helpful. If you remain concerned about the things we have discussed, I suggest you carefully re-read all my comments in both threads.
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