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Autoimmune hepatitis and shingles vaccine

Autoimmune Diseases | Last Active: 3 days ago | Replies (13)
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@sarah217

I think I'm one of the lucky ones as my ALT went from 1,553 to 17 in 4 months and I started reducing the Pred in Jan 25 when the Aza was first added. Yours will stabilize in time. For vaccines, I was told flu, pneumonia, covid and shingles. I've seen some people also say Hep A but that's not been mentioned to me yet. Hope you're not feeling too bad despite your levels still fluctuating 🙂

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Replies to "I think I'm one of the lucky ones as my ALT went from 1,553 to 17..."
humbug | @humbug | 4 days ago

That is amazing!! Wow. My ALT has never been higher than the 200s, yet they have not gone down to normal yet despite being on prednisone since late December 2024. They added AZA in January, I believe. My ALT was around 100, 3 weeks ago.
Fortunately, I have been entirely asymptomatic. When I was first diagnosed, I was also asymptomatic, so it felt strange to start taking medication when I felt pretty normal though my biopsy in November 2024 did indicate fibrosis at level 3; however, my latest fibroscan has my KPA score at pretty close to normal, so there has been progress there!
Good to know that you were okayed the flu, pneumonia, covid and shingles vaccines. I'm already feeling more confident about getting the shingles vaccine based on comments on this thread.
I'm really curious as to whether you made any lifestyle changes (food, exercise, stress) or attribute the dramatic drop in ALT to mainly the medications? Also, what kind of symptoms were you having when your ALT was in the 1500s?

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