A 18-year-old male asked:
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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?

1 doctor answer
Dr. Ed Friedlander
43 years experience Pathology
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.
Answered on Apr 24, 2018
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Normal: It is very important to know why these were drawn in what sounds to be an otherwise healthy 19 year old. Did you expect to find something wrong?
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Inconsistent results: Please consult your doctor to redo the test. It is not likely that she has this high a bilirubin with normal liver enzymes.
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