Doctor insights on:
Alpha Amylase Uses
Best serum tests for liver damage (fibrosis/cirr.)? Ggt, apo a1, a2 alpha gammaglobulin, ldh, haptoglobin? Others? How to interpret? Caff breath test?
Need more tests: Serum tests may never become abnormal from fibrotic or cirrhosis until late. Ultrasound abdomen is good. Ct may help. Liver biopsy is best. Usually clinical history helps. Nonalcoholic fatty liver is emerging as a new and potentially big problem and is mostly diagnosed incidentally on ct or ultrasound of abdomen. ...Read moreSee 1 more doctor answer
Are enzyme tablets effective for improving digestion? (e.g. amylase 120mg, protease 70mg, lipase 58mg, bromelain 100mg, etc) When should they be used?
Blood Tests: There are. Few more Alpha 2's in the blood that can be tested. One of those is Alpha2 macro globulin. You doctor should specify what he/she wants done, depending on the diagnosis, so the lab can do the proper tests. ...Read more
R digestive enzymes good? Do they actually work with probiotics too? Enzymes such as amylase protease's lipase bromelain cellulase papaya etc. Safe?
Digestive enzymes : are good especially if you lack your own digestive enzymes and there is no long term harm. ...Read more
Why do you ask?: If this is screening for birth defects in a newborn, it's the pediatrician's / public health official's call. If this is a fishing expedition for real or imagined behavioral / neurologic illness offered by a non-evidence-based lab ("innovative biomarkers"), please be very cautious. ...Read more
75y old(single kidney+chronic kidney disease),creatinine (~250),hemoglobin (~9.5),red cell count(3.6),Iron serum(107). Shall we use Aranesp (darbepoetin alfa) injection?
Slightly elevated beta fraction from serum protein electrophoresis. Beta 1.07 (high) (0.52-0.98) increased beta fraction, no monoclonal or polyclonal gammopathy seen. Immunofixation normal.
Is nicotine b shown in cbc, t4, ths, uera in serum, hdl, ast, alt, esr, vit.D, glucose in plasma, creatinine in serum, uric acid in serum, urine analysis please tel?
No: But it will deposit in your tongue and lungs. ...Read more
What are these tests done for?
Hb, tc, ast, alt, bilurubin total, direct. Creatinine, quantitative CRP assay and rbs.
7mm periampullary lesion, 3 liver lesions, total beta hCG is high, anion gap-10, monocytes-1.1, chloride high, erc low, cbd & pancreatic duct dilation?
Your question?: I appreciate your sharing this, but no one here will be able to make the call. Unless your HCG is extremely high, it means nothing. The other labs are not helpful. Your periampullary lesion has hopefully been biopsied, as will your liver lesions if the radiologist cannot certify them as benign. Hoping celiac sprue has been ruled in or out, along with whipple's and common lactose intolerance. ...Read more
Biochemistry enzymes: One induces and other inhibits action of enzyme. Great Wikipedia question. If you have never heard of it always go there first before coming here. ...Read more
Don't treat labs: Omega-3's have been a massive disappointment in most areas when subjected to scientific testing. Most important is finding WHY these liver tests are up. If it's chronic hepatitis B or C, hemochromatosis, Wilson's, or autoimmune hepatitis, you're going to die if you're not diagnosed & Rx'd. If this is non-alcoholic steatohepatitis, nothing will help as much as getting aerobically fit. ...Read more
S it fine to take glutathione 500mg,milk thistle extract 100mg, alpha lipoic acid 50mg, combined with d alpha tocopheryl acetate 400 iu?
Analysis: Why do you take all these items?. Where did you find such advice? Glutathione is a wonderful anti-oxidant, but does NOT cross into the brain, so of questionable value in bloodstream. Milk thistle extract has questionable benefit in most cases. Alpha lipoic useful in peripheral and central nerve disorders. You are far better off using mixed tocopherols, especially with gamma. See holistic doc ...Read more
Specific & limited: Pregnenolone is an adrenal hormone made from cholesterol, and is the pre-cursor for sex-steroid hormones. It is said to 'improve mood, ' but no strong data support. To my knowledge there is no role for it's use as a supplement. Aromatase inhibitors are for treatment of some breast cancers; they're also used off-label for ovulation induction in women. No other appropriate uses to my knowledge. ...Read more
Lfts worsening-serum gammagt level 647u/l, serum alk phosphate 654u/l.Othr blood/heps normal.Mri &scans done. 3polyps large14mm in gallbladder-remove?
See specialist: The elevation in ggtp and alkaline phosphatase in the setting of gallbladder polyps that large mandates that you see a liver specialist before embarking on surgery. There are two types of specialists you should see, a hepatologist, a liver internal medicine doctor to make sure this is not some type of hepatitis or liver disease and then a liver surgeon to decide if the polyp is cancerous. Do asap. ...Read moreSee 1 more doctor answer
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