Here's the update to my previous post (https://healthunlocked.com/pbc-foundation/posts/132591309/diagnosis-today). Just following through with the treatment plans.
Bloodwork November 2015:
AST 57 (normal 0-40) - down from 113 last month
ALT 92 (normal 0-32) - down from 170 last month
Alkaline Phoshatase 45 (normal 39-117) - last month was 49
Bilirubin 1.8 (normal 0-1.2) - up from .8 last month
Bilirubin, Direct .27 (normal 0-.4)
TSH 3.29 (normal .45-4.5)
T4 9 (normal 4.5-12)
T3 27% (normal 24-39%)
Free Thyroxine Index 2.4 (normal 1.2-4.9)
Cholesterol, Total 214 (normal 100-199)
Triglycerides 209 (normal 0-149)
HDL Cholesterol 38 (normal greater than 39)
VLDL Cholesterol 42 (normal 5-40)
LDL Cholesterol 134 (normal 0-99)
Vitamin D, 25-Hydroxy 21.4 (normal 30-100)
Bone Density Scan:
No signs of osteopenia or osteoporosis
Treatment Plan Progress:
Fatty Liver Disease - I have been watching my diet and avoiding alcohol for 4 weeks, and my AST and ALT have significantly dropped. They are still elevated above the normal range, but it is encouraging. I met with a nutritionist, who said my diet is healthy and to keep up the good work. I just need to increase my daily protein a bit. Follow up bloodwork scheduled in 3 months, then see hepatologist. Follow up MRI in 6 months.
PBC - I got vaccinated to protect against Hepatits A and B. Bilirubin is elevated above the normal range, which is typical with PBC. It has never been elevated before. After the blood was drawn, I started Ursodiol. I've been on it for 10 days with no negative side effects. I have noticed that when I take my Ursodiol with my meal, I can digest my food a lot better. No bloating or cramps or vomiting anymore. I can even eat the foods that I used to avoid: bread, meat, pasta in small amounts, etc. I have dropped about 3 lbs without trying. Follow up bloodwork in 3 months, then see hepatologist. Hepatologist will discuss possible liver biopsy and further studies. Follow up MRI in 6 months.
Thyroid - my TSH was elevated last month, but the thyroid panel shows everything in the normal range. No need to see the endocrinologist. Follow up bloodwork in 3 months to monitor.
Cholesterol/Triglycerides - I am outside the normal range on all the lipids tested in the lipid panel. I followed up with my general doctor, as suggested by my specialist. She believed that medication was not necessary yet. She said the levels were not too high, and she wants to watch and wait. Follow up bloodwork in 3 months.
Vitamin D Deficiency - Vitamin D is low, so now I am taking a prescription supplement Dristol once a week. Follow up bloodwork in 3 months.