elevated liver enzymes

Hi all!

I just got my bloodwork back from the lab today. I am concerned about my liver enzymes.

Does anyone know if these elevated numbers are really bad. And what does it mean? I have read (foolishly) that these numbers are liver damage. Have I damaged my liver or will it come down if I pause treatment?

I pulse my meds and I take tindamax tonight then tomorrow I take bactim, malarone, tindamax, and omnicef-in the am and then again in the pm. Then I have 2 weeks off from any meds.

I haven't heard from my dr about these labs. I am not sure if I should stop my meds or is okay to take the dose today and then again tomorrow's dose.

Alt-139 ref range is:6-29
Ast-94 ref range is:10-35

My labs have been good up till now. A year of treatment with normal labs. Until this one. My last lab was three weeks ago and I was at ALT-27 and AST-29. So I jumped significantly in the past 3 weeks.

The only thing that I have done different is add in Kombucha tea. I thought that wasn't anything to worry about until I went and looked up Kombucha tea and elevated liver enzymes and I find that Kombucha tea can cause liver damage!!! WHaaaaaatttt?!!! Why oh why did my dr recommend it if it was dangerous to my liver?

Lyme gives me so much anxiety as it is and now this.

Any opinions are very appreciated.

Thank you all so much.

That is quite a jump in 3 weeks time.

Have you stopped the tea?

My recent labs have showed an increase in my liver enzymes...still in range though...but higher than usual.

I recently started Mepron.

I wonder if that is the atovaquone in your malarone causing it?
How long have you been on the malarone?

Liver enzymes that are out of range - can come back easily...don't worry.

Mine were high once before...when on lyme treatment...and I stopped meds for 2 1/2 months and they came back down...and stayed in range for over two years now...just recently started to climb again....so mine may be out of range next time I check.

It's also the infections that can cause this. The die-off of the bacteria.

Oh - I forgot to mention - my LLND told me to take Pekana Apo-hepat when my liver enzymes were high...so I switched and stopped taking the Milk thistle extract.
I just realized I've been missing doses of the apo-hepat lately...maybe that's why mine climbed a bit again.

OP, I would not worry too much about it. Liver enzymes are constantly fluctuating. I had an ALT as high as 134 two years ago, now it is mid 30s and I have been treating ever since w/ abx.
I have found that drinking cleansing/detox teas daily really helps. Personally I don't really recommend NAC as it actually raised my count. Also, try taking a shot of ACV and olive oil daily.
I am not a doctor, but I would finish this week up then retest after your two weeks.
and to put things in perspective, HEP-C patients see ALTs in the 2000 range.

NAC is a commonly used supplement. I have had former LLMDs use it in an attempt to boost the liver, but it has other uses as well.

Also, it can be helpful to look at liver function tests as a whole. Check your Bilirubin and Alkaline phosphatase as well which should be part of the labs.

Yes those are very high numbers and if it were me I would stop abx and have more labs in 7 days. With the high dose and long term abx you are on, the most logical explanation would be the pills and not the tea. GL