My blood test showed raised HDL and ALT. Kindly help me.

Question

Hi doctor,

I am a 46-year-old man of 5.9 feet height and 194 lbs weight. My T4 is 11.39 ug/dL, TSH is 0.005 uIU/mL, and HDL is 34.30 mg/dL, creatine serum is 0.78 mg/dL, ALT serum is 60.90 u/L. I am attaching my reports.

Kindly give your opinion.

Answer 1

Hello,

Welcome to icliniq.com.

I just read your query and the reports that you have attached (attachments removed to protect the patient's identity). It appears that you have hyperthyroidism. It means that your thyroid gland is hyperfunctioning. Before we proceed with any treatment, you must do:

1) Thyroid uptake scan.

2) Ultrasound of thyroid.

3) Tell me about any other medical conditions that you have and the current medications, if any.

4) Tell me about any symptoms that you are experiencing.

5) Do you have any family history of thyroid or any other disease?

6) Count your pulse per minute and BP (blood pressure) reading and write it for me as well.

7) Any recent infections?

Please answer the questions so that I can guide you accordingly.

Answer 2

Hi,

Welcome back to icliniq.com.

HDL (high-density lipoprotein) is good cholesterol. We need that to be high, so no treatment for that. Regarding high ALT (alanine transaminase), you must consult a gastroenterologist. You might need to do liver function tests in detail and hepatitis A, B, and C tests and ultrasound and complete. Most importantly, stop all herbal medications, analgesics, OTC (over-the-counter) drugs, and other harmful things in diet like carbonated drinks, fatty foods, etc. Rest your gastroenterology specialist will tell you what to do further.

I hope this was helpful.