Top
20
Doctor insights on: Cytochrome P450 2c9 Genotype

Share
1

1
My blood test results: total bilirubin: 1.41 h ast: 40 h alt: 100 h total alk phosphatase: 43 l serum total protein: 7.1 e.R. Said hepatitis?

My blood test results:
total bilirubin: 1.41 h
ast: 40 h
alt: 100 h
total alk phosphatase: 43 l
serum total protein: 7.1

e.R. Said hepatitis?

Let's try this...: I have only a little bit of the story you've shared. Perhaps it's time to see whether the ast and alt get back to normal after two weeks off alcohol and any not-totally-necessary meds you may be taking. If so, this is the start of a healthier life after alcohol. If not, the workup for virus infections, iron overload, wilson's, autoimmunity & need for exercise can begin. Good luck. ...Read more

3

3
41yo F, feeling crappy 6 weeks, onset of unexplained hives, labs 8/25/16 WBC 12.5 , RBC 5.36 Hgb 15.7 Hct 49.6 MCH 29.3 MCH 31.7 RDW 13.3 RDWSD 45.0?

41yo F, feeling crappy 6 weeks, onset of unexplained hives, labs 8/25/16
WBC 12.5 , RBC 5.36 Hgb 15.7 Hct 49.6 
MCH 29.3 MCH 31.7 RDW 13.3 RDWSD 45.0?

Need medical examina: You need to see a doctor for medical check up to find the cause of Hives. It may be an allergic reaction to a medication or any chemicals in your environment. Your WBC count is also high, but we need to know the differential count, a breakdown of WBC into its component cells. You may need to see an allergist if the hives do not go away in a few days. Specialized tests(complement levels) may help ...Read more

5

5
SPEP test: High Alapha1 .27 (.10-.20) High Alpha1% 3.6% (1.4-2.7%) High Gama 1.23 (.6-.1.2) Low Beta 5.9% (6-9%) and IFE tested positive. Cancer?

SPEP test: High Alapha1 .27 (.10-.20) High Alpha1% 3.6% (1.4-2.7%) High Gama 1.23 (.6-.1.2) Low Beta 5.9% (6-9%) and IFE tested positive. Cancer?

Need more info: All laboratory results need to be interpreted in the clinical context and the doctor who ordered the tests is usually in the best position to do that. Having said that, none of the information you provided suggests cancer. Ife was positive for what? For good health - Have a diet rich in fresh vegetables, fruits, whole grains, milk and milk products, nuts, beans, legumes, lentils and small amounts of lean meats. Avoid saturated fats. Drink enough water daily, so that your urine is mostly colorless. Exercise at least 150 minutes/week and increase the intensity of exercise gradually. Do not use tobacco, alcohol, weed or street drugs in any form. Practice safe sex. Get HPV vaccine. ...Read more

7

7
Does protein shaker effect on kidney ? I take 2 scopes (30 gram of protein) per day,

Does protein shaker effect on kidney ? I take 2 scopes (30 gram of protein) per day,

Extra protein: Hi khaledabdo, that daily dose of extra protein should not be an issue at your age unless you have some type of kidney disease. Be sure to drink plenty of non-caffeinated fluids as well. Doc ripley. ...Read more

8

8
Got 20/1 omega6/3 ratio. Arthritis bad. Take 2k of grill oil. Got afib take padaxtra. Can i take large dose plant DHA supp. Ok. Am vegan exc. Krill?

Got 20/1 omega6/3 ratio.  Arthritis bad. Take 2k of grill oil.  Got afib take padaxtra. Can i take large dose plant DHA supp. Ok.  Am vegan exc. Krill?

Plant vs fish omegas: The type of omega 3 fatty acids (including dha) in plants are shorter in fatty acid chain length than the ones in fish. Our bodies use then longer chains much more efficiently, perhaps 6-10 times more efficiently. ...Read more

9

9
Does Zoloft (sertraline) interact with supplements like omega369, b vits, calcium/magnesium, oregano (juice) & airborn? Also, does it interact with tylenol& gas x?

Does Zoloft (sertraline) interact with supplements like omega369, b vits, calcium/magnesium, oregano (juice) & airborn? Also, does it interact with tylenol& gas x?

No known interaction: B vitamins calcium, magnesium, tylenol, (acetaminophen) or gas-x. There is no information on omega-3 69, oregano juice, or airborne. Those you would have to take at your own risk. Best wishes. ...Read more

11

11
12 years post op rny, iron 20 & vitamin d at 10. Seeing a new dr that hasn't worked with deficient gastric bypass, is 325ferrous 3x and 2000d 1x okay?

12 years post op rny, iron 20 & vitamin d at 10. Seeing a new dr that hasn't worked with deficient gastric bypass, is 325ferrous 3x and 2000d 1x okay?

Nutrition!: A gastric bypass is a very complex nutrition situation. If your physician has not dealt with it much i would suggest asking for a referral to a nutritionist or a bariatric center. That being said, the dosage of iron is fda approved treatment for iron deficiency, and the vitamin d is a reasonable amount. You have many nutrient levels that should be monitored and carefully watched! ...Read more

13

13
Using lamivudine 150g/zidovudine 300g as p-exp. Prophylaxis. Physician says take two tablets daily. Is this not too much? Sirk2007@live.Com

Using lamivudine 150g/zidovudine 300g as p-exp. Prophylaxis. Physician says take two tablets daily. Is this not too much? Sirk2007@live.Com

Standard dose: That's the standard dose of lamivudine/zidovudine if used for treatment of HIV (1 tablet twice a day). However, in the U.S. We no longer used this combination for pep. ...Read more

14

14
For educational purposes, i look up any meds i take. Which cytochrome p450 enzymes metabolize the first-gen antihistamine periactin (cyproheptadine hydrochloride)? Or are effected?

For educational purposes, i look up any meds i take. Which cytochrome p450 enzymes metabolize the first-gen antihistamine periactin (cyproheptadine hydrochloride)? Or are effected?

Cyproheptadine: Aromatic ring hydroxylation ( followed by glucuronide conjugation), and n-demethylation, end heterocyclic ring oxidation were shown to occur in man. The principal metabolite, however, was identified tentatively as a quaternary ammonium. Glucuronide-like conjugate of cyproheptadine. The exact mechanisms for the glucuronidation are not entirely clear. ...Read more

15

15
Any way to repair cytochrome p450?Since i took fluoroquinolones 8 months ago i feel toxic and no medication that used to work isnt working anymore

Any way to repair cytochrome p450?Since i took fluoroquinolones 8 months ago i feel toxic and no medication that used to work isnt working anymore

No: It is unlikely that fluoroquinolone you took. 7 months ago is causing side effects now . See a physician and discuss your complaints in detail. Some blood work nay also be necessary ...Read more

16

16
HC worker. 1992 Hep B vac, 2004 titer & booster. 2012 labs hep B neg. Labs done last wk; now told that Hep B test is positive?? How can this be?

HC worker. 1992 Hep B vac, 2004 titer & booster. 2012 labs hep B neg. Labs done last wk; now told that Hep B test is positive?? How can this be?

The vaccine worked: Lab tests aren't perfect and sometimes can be wrong. Or maybe the negative result was from the wrong kind of test. Vaccination makes hepatitis B surface antibody (HBsAb) positive. Tests for surface antigen (HBsAg) or core antibody (HBcAb) remain negative. Most important, you can be sure you are immune and protected by the vaccine -- so no worries. ...Read more

18

18
I recently learned my cytochrome p450 oxidase 2e1 is partially reduced, my gstm1 is absent, and my meh only partially works. What does this mean, how common is it, and how can I improve my detox?

What type of detox: As the field of genetics and epigenetics advances more individuals will become aware of these types of problems. Taken altogether you do not metabolize and detoxify as efficiently which increases risk for disease and especially lung cancer from tobacco. Do not smoke, limit or abstain from alcohol, eat organic whole foods, exercise, avoid unnecessary medications and get help with supplement regime. ...Read more

See 1 more doctor answer