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A 36-year-old male asked:

I'v long standing colitis.done lft. my bili is bit high.sgpt/alkaline phosphatase/ggt/ pancreas-ok. sgot bit high.ultrasound - all ok but mild fatty liver.lipid prof & cbc-ok. no abd pain.was 218lbs.started home diet & lost 16 lbs in 4m.is it psc?

3 doctor answers4 doctors weighed in
Dr. Forrest Jones
Specializes in Family Medicine
Continue the wt loss: Not sure what is PSC, but your obesity (I'm assuming obesity by your weight, but I don't have your height for confirmation) can cause your fatty liver which can cause your LFT abnormalities. Work with your primary clinician on your weight loss while continuing to monitor your LFTs. Hope that helps
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Dr. Cornelius Oleary
A Verified Doctoranswered
Urgent Care 21 years experience
GI: GI consultation, imaging , hepatitis serologies, ERCP= endoscopic retrograde cholangiopancreophotogtaphy. Good luck. Stay calm and see GI/ Hepatologist. Hyperbilirubinemia ranges from Gilbert's at 2 to much higher levels need the info. Need full liver panel results albumin etc. Need MRI in my opinion. Good luck.
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Dr. Joseph Rank
Pathology 26 years experience
Test for PSC: PSC is less likely with a normal alkaline phos, but that is a non-specific measure. ERCP is the more sensitive testing for PSC, and will detect strictures or evidence of stricture in many instances. MRCP is less invasive, but may not be quite as good as ERCP. The approach to making a diagnosis of PSC is best done with guidance from your gastroenterologist.
Created for people with ongoing healthcare needs but benefits everyone.
Last updated Jan 22, 2021
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