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Urso finally arrived ~

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Pharmacy called Friday afternoon - Ursodiol is finally here - so I

started taking it friday night after dinner. On Sat and all days

forward I will start taking it in AM after breakfast for 2 weeks then

I progress to 2 a day until my MD tells me to increase it - my next

labs for MD to look at TSH / GGTP levels, etc - is 5/16/08.

I saw my DC, Kinesiologist Friday AM and along with a trx,

he gave me a dietary suppliment called Standard Process : Livaplex

5375 to take i TID after meals. And yes, I notified both of my MD's

like y'all told me to do.

Can anyone explain to me what a Smooth Muscle AB Titer, a Ferritin

and also a TSH, 3rd generation are and why they are important to the

diagnosis of PBC. These 3 tests on my labs are as of now under the

reference range. My Mitochondrial AB Titer was High = 640.

Oh and my liver biopsy results diagnosis states - *changes most

consistent with PBC.

Grace

54yof DX4/08 stg 0/1

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Grace, I normally go to http://www.labtestsonline.org/ with my questions

about lab tests. In the case of TSH, 3rd generation, I found better

information at http://www.medscape.com/viewarticle/515755. If you can't

open this link, email me personally and I'll send you the text. For a

discussion of association between serum TSH, free T4 and serum liver enzyme

activities see

http://www.ingentaconnect.com/content/bsc/cend/2008/00000068/00000003/art00023.

The ferritin test is ordered to see how much iron your body has stored for

future use. The test is done, usually with an iron test and the TIBC, to

learn about iron levels in your blood. Ferritin is the best test for iron

deficiency and a very good test for iron overload. It is my understanding

that this test is to identify or exclude 's Disease as the cause of

liver problems.

The ASMA test is primarily ordered along with antinuclear antibodies (ANA)

to help diagnose autoimmune hepatitis and distinguish it from other causes

of liver injury. A high ASMA is more indicative of AIH, unless it is due to

a temporary condition such as mono. ANA will be positive with lupus but

ASMA will not.

Hope this helps; I am not a medical professional and this post is meant only

to represent my understandings from my research. See your liver doctor for

more, and perhaps better, explanations.

Kay_Texas

AIH-1 (1995) -AIC Overlap Syndrome, stage 2, 1999

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