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A member asked:

I am working in cambodia. i have elevated liver enzymes (alt 149) & ggt is 280. is it safe to get hep a & b vaccines? liver sonogram normal

A doctor has provided 1 answer

Get serology first,,: Before you even think of getting vaccinated it'd be good to get a serologic result to see if you've already been exposed and made antibodies to hep a, b or the other hepatitis viruses. You might have contracted one of them without knowing it. Next, more liver tests/other tests would be needed to find out why your enzymes are elevated. You might have gone to an area endemic for malaria, etc..

Answered 9/29/2016

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My ALT enzymes have been elevated for 7 months know, range 109-139. All regular tests and hep tests have been done. I dont feel well, should I go for liver biopsy or hormone tests?

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