Hi Rosemary, I do see a gastroenterologist and a liver specialist. I also have an endocrinologist and have had a dexa scan. I do have osteoporosis. I just had surgery for hyperparathyroidism and had one parathyroid removed that had an adenoma. Because of this, I developed osteoporosis. I am now on a lot of calcium to help build bone back.
I had a liver biopsy that didn't show autoimmune hepatitis. They are suspecting I have it because my ALT and AST are elevated. According to my liver doc autoimmune hepatitis can be very spotty in the liver so when they do a liver biopsy they may not get it in the biopsy. I was just increased to 6 mg of Budesnoide twice a day instead of 3 mg of Budesnoide. I just seem tired all of the time. I understand that herpes simplex can cause elevated liver enzymes. Around 3 years ago when all of this started I had my first outbreak (married for 12 years). My dermatologist said sometimes this virus can be in your body and doesn't have to be from a sexual source. When I mentioned this to the liver and gastro doc they didn't seem to think herpex simplex could be the cause of elevated liver enzymes. I had an outbreak right before my last blood test and the AST and ALT were more elevated and is when she increased the Budesnoide to 6 mg per day. Can you give me any input on all of this. Thanks, I am so frustrated!!!