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High Cholesterol Message Board


High Cholesterol Board Index


[QUOTE=Lenin]daddy,

There is NO ultrasound test with sufficient resolution to tell you ANYTHING about the condition of your coronary arteries. Your saving grance is that you have a decently high HDL (56.)

Your ALT may or may not be indicative of a liver problem with Lipitor:


Do you have any OLD liver function tests, from before Lipitor in which you can look up your baseline ALT (formerly called SGPT.) WHat kind of number do you get NOW without the Lipitor?

From the Oklahoma Blood Institute:


If you've ruled out the other causes of higher than normal ALT and get repeatable results, you will have to discontinue the Lipitor. BUT you will need to find some way to lower your total cholesterol. Resist the normal human instinct to say "Since my results are bad, I'll assume they don't matter"...they do, whether we'd like to THINK they do or not.

What does your doctor say about your ALT level? Have you ever had hepatitis A, B or especially C? If you;ve never been tested for antibodies to them, do so at your next doctor's visit. Are you a heavy drinker? Do you frequently take Tylenol (acetamenophen?)[/QUOTE]

Thanks for your input.

I have to first disagree with you about the Ultrasound.
The Ultrasound which I had, had Doppler technology which puts different colors on different substances in your blood stream, which in turn makes it [B]very[/B] accurate.
Here is the company that took the test...

http://www.lifelinescreening.com/s_info.asp?src=WGGL-040

Now here are my test results [B]without[/B] the medication:
Liver: AST 37, ALT 54
Lipids: Cholesterol 262, Triglycerides 146, HDL 55, LDL 178
and Cholesterol/HDL Ratio 4.8.

[B]With[/B] medication:
Cholesterol: 205, LDL 111, HDL 45, Tri's 270 HDL ratio 4.65
Liver: ALT [B]85[/B], AST55.

My I also add that I do not have [B]any[/B] history of Coronary disease in my family.
I am not an Alcoholic.
I take Ibuprofen, not Tylenol.
And have been tested for every antibody and hepatitis and all tests have been negative.
Also the liver specialist said that I had a fatty liver, well when I went to go have my liver x-rayed, the technician said that he himself could not see any fat.
Kittydaddy,

If you look carefully at the site you posted, you'll see that they refer to doppler testing for stroke/carotid artery, abdominal aorta, and peripheral artery blockages (arms and legs).

I repeat, there is NO ultrasound technique, doppler or otherwise that can determine with any degree of accuracy the presence or absence of CORONARY artery blockages. Those arteries are just too small! Even MRI techniques are just BEGINNING to get good enough to be of some limited use.

The standards remain nuclear isotope scan on stress and dye testing with catheter probe.

[QUOTE]Now here are my test results without the medication:
Liver: AST 37, ALT 54
Lipids: Cholesterol 262, Triglycerides 146, HDL 55, LDL 178
and Cholesterol/HDL Ratio 4.8.

With medication:
Cholesterol: 205, LDL 111, HDL 45, Tri's 270 HDL ratio 4.65
Liver: ALT 85, AST55.[/QUOTE]

THis is a tough call...your ALT went from too high without Lipitor to higher WITH...I'm assuming that the "without mmedication" numbers are from BEFORE the Lipitor? Is that the case?
Perhaps these levels are normal for you. You show a large increase in triglycerides and a sizeable decrease in HDL with the Lipitor...these are anomalous. I think something else is operating.

In any case, you won't drop over soon with your unmedicated numbers since your HDL's are pretty good so you can probably ignore your doctor and stop the Lipitor...after all, we choose what we put in our mouths.
For safety's sake why not get a thallium stress test and scan just to rule out any worrisome blockages. It's a good test.

If the ALT from Lipitor concerned you, maybe you should look into why it was high before you began it...if that's when you got the ALT = 54.





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