blood work

[bbj2856]

end of week 13/24 blood work
UND A normal <10
wbc 3.6      LOW   4.0  12.0
rbc 4.06      hgb12.7
hct   39.1
mcv  96.1   high 96.1  HIGH  (76.-90.00)RANGE
MCHC  32.6
PLATLETS     137 LITTLE LOW
BUN  132 137
CO2   33.0 .1 HIGH

THE ONE THAT DONT SEEM TO GO DOWN ARE
AST 190.0
ALT  AST 201 HIGH

THE PAST 2 OFFICE VISITS i HAVE ASK ABOUT THESE THE NURSE ASST. SAID DONT WORRY JUST LOOK AT                 und  
THE OTHER NURSE ASST. WHO SAW ME LAST MONTH  LAUGHED SAID NOT WORRIED ABOUT THESE . THEY WILL GO DOWN .  THIS MO AGAIN THEY WENT UP EACH LIKE 40 OR SO SCARING ME TO DEATH BUT THANK G OD FOR            und
ALL OF U HERE ARE SMARTER THAN THE NURSE ASST WE HAVE TO SEE EACH VISIT DOES THIS LOOK GOOD . TODAY IT TOOK SHOT #14/24

[bbj2856]

The original hematologist who saw me first time has not saw me again. He get inf from his office per phone or internet. He comes in one day a week so I recently found out . I see a Dr in Louisville KY he has a home in Florida flys back once week so I was told. The staff does rest . He has treated Hip for about 40 years so hopefully he is stearing us right but it is flustrating when u only can see nurse asst and not real Dr. I ask the asst last week what ECo2 she said  I dont know so came home found inf on internet.  Just hoping und is all i need right now.
Thanks to u all and GL with your treatments may we all reach und and  then go back later and it still be gone.

[bbj2856]

I was told by some one or maybe read it the injection can affect enzimes to not sure where I heard or maybe read it here. It just seemed like they should come down before treatment they were like  ALT was like 60 and AST was like maybe  best I rem 72a. bur I guess we all look at things an think worst. Then I rem. If I am UND of hip c at week 13  then God has blessed me  and I think him. Thanks Will you alwasy seem like have good answer an very knowledgable God bless u all


bbj

[willbb]

  "transaminases"   not  " transmittances"

[Proactive]

for week 13/24, your alt and ast do seem rather high, not that I'm by any means an expert. I believe I'd ask to speak directly to your doctor  jmho.
pro

[willbb]

Congratulations on being UND. @Wk.13 and other than the elevated enzymes your blood levels look normal for someone undergoing treatment.
The ALT &AST (transmittance's) are proteins that leak into the blood stream when there is a cause of liver injury.(especially ALT )

When treating HCV the goal is to eradicate the virus and the "only " test that keeps score ,so to speak on that is the PCR and the fact you are UND. means that so far your treament is succesful.

There are many causes of the above enzymes to be elevated   other than HCV inadvertently causing inflammation and injury.

It could be the treatment drugs themselves.other drugs you may be taking,including supplements or herbs anti-depressants,,iron overload in the liver(common with HCV),crohn's disease,colitis,fattyliver alcohol consumption and even muscle injury just to name a few.

I would agree with your nurse that it is not anything to worry about while treating ,as they may fluctuate anyway,however  when you are finished treatment  and if they are still elevated it would be prudent for your doctor to investigate the cause further..

Good luck with your treatment..

Will

[Peter2012]

You're doing very well.

Here are my numbers from the end of week 8 (Mar 9):

platelets 62
hemo 102
WBC 1.7
ALT 58 (down from 92 before treatment started)
AST 65 (down from 73 before treatment started)

And from the end of week 12 (April 5):

platelets 58
hemo 101
WBC 1.4 (neutrafills at 6.0)
ALT 50
AST 62

[flcyclist]

Listen to your doctor's staff.  Just look at the und, that's what is important now.  My understanding is that the liver enzymes, (ALT, AST) can fluctuate quite a bit and are an indication of inflamation.    I'm hope others will cue in to confirm this.  

From what I see your numbers look very good at week 13.  Just over 1/2 way there, so on the short side of tx.  Good luck.

[Sentinel13]

Hi bbj: Sorry to hear you had a scare. There are other people on this forum more knowledgable on the liver enzymes topic than me, but I do know there are other things besides hepatitis-c that can contribute to elevated enzymes. Maybe supplements you are taking? Maybe another medical condition? Maybe other drugs you are taking? Best, GB