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A 18-year-old male asked:

Elevated alt levels and alkaline phosphatase direct bilirubin is .2 not very old only 18 gained about 30 pounds in 3 months what do these test mean?

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Dr. Ed Friedlander
Dr. Ed Friedlanderanswered
Pathology 46 years experience
U R seriously sick: I see you are an 18 year old male taking "provigil", a stimulant prescribed for sleep apnea and narcolepsy and used illicitly to promote wakefulness. It can poison your liver and you need to talk with your physician about this. The fact that you've gotten fat in 3 months is very worrisome. Your doctor must rule hepatitis, hemochromatosis, wilson's, fatty liver and more in or out.
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Last updated Apr 24, 2018

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People also asked

If I have very high levels of alkaline phosphatase, ast, alt, total bilirubin, what does it mean?
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Alt 17 range (l 0-32), AST 24 range (0-40), A/G ratio is 1.8 ( range 1.2-2.2), Bilirubin, Total 0.2 normal range(0-1.2), Alkaline Phosphatase 131 range (39-117). any need for worrying? am 57 year old female?
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My daughter's blood test showed she had a bilirubin of 41 with normal ALT and alkaline phosphatase. Why could this be and could it cause nausea?
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Alkaline Phosphatase levels are 166. 22/F. Not pregnant. Albumin, bilirubin, AST, and ALT are all in normal ranges. The ER doctor told me its not concerning to him. So he didnt look further. Could it be Vit D deficiency or gallstones?
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