62 yr old man. Hep C that I have had since 19yr of age do to drug addition. been sober and clean since 1988. have been through about 3 0r 4 Liver treatments and the last treatment was approx 7yr ago. on a regular blood test its all good. but when they do a hep panel. my levels ar up in the 10,000.000. what do you suggest for any more treatment?
Hello, Liver enzymes may be raised because of various causes. In your case, some may be more possible but in every case, it requires evaluation of the cause. Most common causes of such liver derangement are Alcohol, Viral hepatitis, Nonalcoholic fatty liver disease, Chat Doctor.  Gamma GT is most commonly raised due to alcohol intake and in case you take alcohol, you need to keep control over it. If you don't take it, you need following tests: hepatitis virus markers, Ultrasound Abdomen and HIDE scan. A lot many times, the liver dysfunction is due to Non-Alcoholic Fatty Liver Disease (NAFLD).  So, if you have any evidence of fatty liver in Ultrasound and your other tests are negative, this rise is liver enzyme would be attributed to NAFLD. For this you need to reduce your weight, reduce fat in the diet. Hope I have answered your query. Let me know if I can assist you further. Take care 