The following describes the chronological status of my results and i hope to have a comforting response from you:
1. January 16th 2010: Had a full blood check up and i noticed the following:
SGPT (ALT): 233.2
SGOT (AST): 81.2
Serum Alk. Phosphatase: 203
Accordingly i went to a liver specialist and had an ultrasound which concluded an enlarged liver size 18cm and i was told that i have what is called a "Fatty Liver". Then i was asked to have some medicine and to have a check for Viruses A,B & C in addition to SGPT, SGOT and GGT
2. February 15th 2010, i did the lab tests, and the results were as follows:
Viruses were negative
SGPT (ALT): 163
SGOT (AST): 61
GGT: 356
i was terrified by the GGT but the Dr told me that this number will be lowered after the enzymes are back to their normal range.
I was also given some more meds for an additional 2 months.
3. April 4th 2010
I had the lab tests results as follows:
SGPT (ALT): 63.4
SGOT (AST): 78.5
GGT: 537
i was still terrified of the number, but the Dr comforted me and told me that this is normal, but he modified the medicine to lower the GGT and asked me to come back after 2 weeks.
4. April 20th 2010
I had the lab tests results as follows:
SGPT (ALT): 133.4
SGOT (AST): 69
GGT: 410
At this point i decided to visit another specialist to have a second opinion, who ordered additional tests (SGPT, GGT, ANA, LKM -Ab, AMA & ASMA) and gave me a couple of meds to have and asked me for a strict food diet for the remainder of the month.
4. May 26th 2010: Donated blood for an open heart surgery patient ( the hospital made a full viruses lab test for the blood and they told me that every thing is ok)
5. June 09th 2010
results as follows:
SGPT(ALT): 124.8
GGT: 312
ANA by IF: Negative
AMA: Negative
LKM - Ab: Negative
ASMA: Positive
6. July 5th 2010
SGPT(ALT): 119
SGOT(AST): 58
GGT: 212
Finally, My Doctor comforted me that this is just a genetic related disease and that i do not need to worry.
My question is, Should i be alarmed or not, even though my doctor diagnosis is decreasing the enzymes?