I had a long consultation with my doctor this morning and we talked about the blood tests done on 15 September. I don't have a copy of all the results, because there were so many of them. However, the liver function test results were as follows:
Albumin: 48 g/l (normal range: 30-50);
Total Bilirubin: 7 umol/l (0-21);
Gamma GT: 70 U/L (8-61) (had been 121);
AST: 23 U/L (0-40) (had been 96);
ALK Phos: 84 U/L (30-130).
He showed me the results from the full blood count and clotting test and everything was normal.
I asked him why there was no ALT figure. He said it is not routinely part of the LFT and is only requested if serious liver disease is suspected. Apparently, I have never had it tested. I was disappointed that I don't have any ALT numbers to go on, because I know that it is liver-specific.
I told him I was very concerned because of the bouts of heavy drinking, the medications I'm on, the symptoms I've been having, and the fatty liver diagnosis from the ultrasound. I also said I was worried that the liver enzymes were reducing because the liver wasn't functioning and so wasn't able to produce any.
He told me several times that I do not have cirrhosis or advanced liver disease. He said that, if I had advanced liver disease and enzymes like AST and GGT were not being leaked into the blood any more, other tests such as albumin , bilirubin, clotting, platelets, etc, would be abnormal, whereas they are completely normal. He is a friendly doctor, but was really quite adamant.
He thought the hair changes were hormonal, and did mention checking my thyroid function, but then we moved onto something else and so that didn't happen.
I guess I should feel reassured, but I still just don't feel well and still find it hard to believe that "just" a fatty liver would be the cause of this.