Elevated liver enzymes

Covid can cause damage to the liver. My understanding is that the damage is rarely enough to require treatment. The article tries to examine the liver situation with long covid.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10094195/

I asked your question at Open AI - ChatGPT … https://openai.com/chatgpt/ … and got this reply:

“Yes, Long COVID has been associated with elevated liver enzymes in some patients. Studies and case reports suggest that liver dysfunction may persist in people with Long COVID, manifesting as elevated levels of liver enzymes such as alanine aminotransferase (ALT) and aspartate aminotransferase (AST). These enzymes can indicate liver inflammation or damage.

The exact mechanisms are still being studied, but there are several possible explanations for liver involvement in Long COVID, including:

Direct Viral Infection: SARS-CoV-2 may directly infect liver cells (hepatocytes) and bile duct cells (cholangiocytes) through ACE2 receptors, which are present in the liver.
Immune Response: The body's immune response to the virus can cause inflammation in various organs, including the liver, leading to elevated enzyme levels.
Medications: Some of the medications used during acute COVID-19, such as antivirals, antibiotics, and steroids, can contribute to liver stress or damage.
Systemic Inflammation: The systemic inflammation seen in COVID-19 can also have a broad impact on organ systems, including the liver.
While elevated liver enzymes are generally mild and resolve on their own, persistent cases should be monitored and evaluated by healthcare providers to rule out more serious liver conditions.“

I think they are. I have them
as well. I will look for the list. I have a book that is free that may be helpful. Below is just about liver but this company does a full book on symptoms.
Hope it helps!
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10094195/#:~:text=COVID%2D19%20may%20be%20associated,and%20viral%20persistence%20%5B8%5D.

Hi all, I appreciate all the help anyone can give me, I am new to this issue and a bit confused on a lot of things. For the past 4-5 years my PCP has said "we need to monitor your liver enzymes because they are elevated". OK well we did that, I would go get my blood checked every 3 months at least. This April on the 3rd I "blacked out" for 4-5 days and when I came too it was Thursday and I had no idea what was happening. So at the advice of my best friend I called the ambulance and they took me to Banner (1st visit ever to an ER), and Banner said my hemoglobin was at 4.5 when I am supposed to be between 13-17. They had asked if I had lost a lot of blood, got into an accident and what not. At this time I thought for sure something happened in those 4-5 days that would explain this, like maybe I was drugged. I wasn't sure. So I was given 5 units of blood to get me up to 7.4. I was released after 5-6 days. About a month and a half later I "came too" in my living room with my best friend talking to me and police and fire dept all around me and I had no idea what was going on. Apparently the forgetfulness had just started and my friend caught it. It was then I was taken back to Banner and during this visit I was told I had cirrhosis of the liver. I had no idea how that was possible, considering I never had any issues other than "raised liver enzymes". I didn't know how I could just jump into the cirrhosis category from everything else I read. Again was another stay at the hospital for 4-5 days. Well after they released me with no real answer I decided to go to Mayo and get a 2nd opinion and stay with them (so far thank gosh I did, huge difference)! So I was approved by all the departments and such and was scheduled for an appt for colonoscopy and camera down the throat procedure. That is scheduled for this week. So for the last month and I half my Mayo Dr. has had me on totally different medication, but most of them are for anemia. I did my latest blood work that was requested and my liver enzymes are normal, so is the rest of my blood now, hemoglobin up to 11.7 and climbing. I guess I am not understanding a lot because of the liver enzymes, the levels being normal now, the extremely low iron and that is coming way up and overall. I always thought that the blood was the biggest indicator of cirrhosis, which my results seem to say otherwise. Anyway, thank you again anyone who chimes in to help, I appreciate it very much.

irishp333, liver enzymes can be elevated because of low iron.
How frightening to be suddenly unconscious. Thank goodness you decided to go to Mayo. This is a great story about the clinic.