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Elevated liver enzymes post liver transplant

Transplants | Last Active: Aug 26, 2022 | Replies (10)

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@crystalfaye

Hello and thank you for your response. 😊 I was on Bactrin until about four weeks ago. The surgeon felt that is was affecting my potassium levels. He changed it to this yellow liquid stuff called Atovaquone and my level went back to normal.

I had my clini appointment today and the surgeon saw lowered my Celcept. We’ll see how that affects my blood work.

In the meantime I am being scheduled for an MRI of the stomach to rule out a bile duct restriction.

Are you having any additional issues since your transplant? Are you able to return to your normal routine?

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Replies to "Hello and thank you for your response. 😊 I was on Bactrin until about four weeks..."

Hi @crystalfaye 😊 I am so happy to hear that your Cellcept dosage was reduced! Are you now taking 500mg bid of Cellcept in addition to Tacronlimis like me? I think you will start to see a nice decline of your liver enzymes over the coming weeks and months like I did. A year later, I am finally in the normal range for ALT, AST and ALK. As you and I know, with our Bactrin situations, the meds definitely affect the blood levels of different enzymes (including potassium), etc.
It's also a great idea to get an MRI to double-check that there is no bile duct restriction so you can feel confident and relax knowing that "all is well". When you are a new transplant, we worry about EVERYTHING so it's nice to have all the tests so you know there is nothing missed or overlooked.
My transplant challenges have been things like leukopenia, neutropenia, elevated liver enzymes, active CMV virus and just this week my lab results came back BK virus positive. All that said, I am back to my normal routine and I feel really good. I am happy and very grateful to report that all of my challenges have been fairly minor annoyances with ultimately excellent outcomes. How are you doing? Do you have any other concerns or worries in addition to the elevated liver enzymes?