I wanted to post an update to how my treatment plans are going.
Bloodwork:
Liver Panel:
AST (normal 0-40)
Oct 2015 - 113 High
Nov 2015 - 57 High
Feb 2016 - 14 Normal
ALT (normal 0-32)
Oct 2015 - 170 High
Nov 2015 - 92 High
Feb 2016 - 17 Normal
Alkaline Phosphatase (normal 39-117)
Oct 2015 - 49 Normal
Nov 2015 - 45 Normal
Feb 2016 - 49 Normal
Bilirubin (normal 0-1.2)
Oct 2015 - 0.8 Normal
Nov 2015 - 1.8 High
Feb 2016 - 1.3 High
Bilirubin, Direct (normal 0-.4)
Oct 2015 - not tested
Nov 2015 - .27 Normal
Feb 2016 - .25 Normal
Lipid Panel:
Cholesterol, Total (normal 100-199)
Nov 2015 - 214 High
Feb 2016 - 175 Normal
Triglycerides (normal 0-149)
Nov 2015 - 209 High
Feb 2016 - 138 Normal
HDL Cholesterol (normal greater than 39)
Nov 2015 - 38 Low
Feb 2016 - 42 Normal
LDL Cholesterol (normal 0-99)
Nov 2015 - 134 High
Feb 2016 - 105 High
Vitamin D, 25-Hydroxy (normal 30-100)
Nov 2015 - 21.4 Low
Feb 2016 - 49.4 Normal
Treatment Plan Progress:
Fatty Liver Disease - I have been watching my diet and avoiding alcohol since October, so 5 months. In February, I started eating a diet of mainly fresh fruits and vegetables, salads, soups, oven veggies, and making my own juices. I think the live enzymes, antioxidants, and nutrients in fresh vegetables have accelerated healing and promoted cell health. I lost 10 pounds, and my AST and ALT levels have returned to the normal range. I see the hepatologist next month. Follow up MRI in May should hopefully reveal less fatty deposits in the liver.
PBC - I have been taking Ursodiol for about 3 months with no side effects. Digestive issues, bloating, and abdominal swelling stopped when I started Ursodiol. My Bilirubin has been slightly elevated, but ALP remains stable and normal. I see the hepatologist next month. Follow up MRI will check bile ducts for signs of damage.
Cholesterol/Triglycerides - I have been watching my diet and avoiding alcohol for 5 months. In February, I started the fresh fruits and vegetables diet, as mentioned before. I lost 10 pounds. Cholesterol and Triglycerides are back in the normal range for the first time in years. LDL (the bad cholesterol) is just 6 points too high. I will not need to start anti-cholesterol medications. I would like to continue my diet and exercise as I still need to lose 10 more pounds to be in the normal weight range.
Vitamin D Deficiency - I have been taking a mega dose of prescription Vitamin D once a week. Vitamin D levels are now normal, so the doctor has switched me to a daily over the counter Vitamin D supplement. My fatigue is completely gone. I am not bursting with energy, but I would say my energy level is medium and I have been able to take exercise classes a couple times per week. 4 months ago that was impossible for me.