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Valtrex and difllucan both altered the hepatic enzymes, so you should

monitored these every two weeks, may be you should try Nystatin, it

is an antifungal also but in differnce to the diflucan this one does

not affect hepatic enzymes. also you can give him some selenium and

milk thistle to help with immune system and protect teh liver while

you are giving him these meds.

Lucy

>

> I would love some input on this. We had labs pulled on my 3 1/2 yr

> old last Nov prior to starting biomed. Now, after 4 months on

> valtrex/difulcan, we pulled another round and I'm worried. AST is

> high, WBC dropped in half, MCV is elevated. Any input is welcome.

> Here are the lab results:

>

> Nov '07

> CBC:

> WBC - 6.3

> RBC - 4.24

> Hemoglobin - 12.5

> Hematocrit - 36.1

> MCV - 85.3

> MCH - 29.5

> MCHC - 34.5

> RDW - 14.1

> Platelet Count - 212

>

> August '08

> CBC:

> WBC - 3.2 (Out of range - Low)

> RBC - 4.12

> Hemoglobin - 12.3

> Hematocrit - 36.7

> MCV - 89.1 (Out of range - High)

> MCH - 33.5

> RDW - 12.2

> Platelet Count - 164

> MPV - 9.7

>

> Liver Function:

> Albumin - 4.7

> Total Bilirubin - 0.3

> Direct Bilirubin - 0.1

> ALK Phos - 322

> AST - 48 (Out of range - high)

> ALT - 18

> Total Protein - 6.6

>

> Thanks in advance!

>

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Need help with your verbage... " Pulled another round??? "

Are you talking titers? We are trying to get our doc to do titer

counting,,, but all they can do is a positive negative thing. Where

did you go to get these tests,,, what kind of test is it exactly..

what exactly does it test for. Sorry to be ignorant on in.. I'm

trying to learn all this. I'd really love a detailed description

from someone as when I have asked these questions to people in the

past I just got snippets,,, and I'm so confusedd............ help oh

wise ones.

>

> I would love some input on this. We had labs pulled on my 3 1/2 yr

> old last Nov prior to starting biomed. Now, after 4 months on

> valtrex/difulcan, we pulled another round and I'm worried. AST is

> high, WBC dropped in half, MCV is elevated. Any input is welcome.

> Here are the lab results:

>

> Nov '07

> CBC:

> WBC - 6.3

> RBC - 4.24

> Hemoglobin - 12.5

> Hematocrit - 36.1

> MCV - 85.3

> MCH - 29.5

> MCHC - 34.5

> RDW - 14.1

> Platelet Count - 212

>

> August '08

> CBC:

> WBC - 3.2 (Out of range - Low)

> RBC - 4.12

> Hemoglobin - 12.3

> Hematocrit - 36.7

> MCV - 89.1 (Out of range - High)

> MCH - 33.5

> RDW - 12.2

> Platelet Count - 164

> MPV - 9.7

>

> Liver Function:

> Albumin - 4.7

> Total Bilirubin - 0.3

> Direct Bilirubin - 0.1

> ALK Phos - 322

> AST - 48 (Out of range - high)

> ALT - 18

> Total Protein - 6.6

>

> Thanks in advance!

>

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How high out of range is the AST?  This can indicate high liver enzymes which would mean you need to stop the diflucan and let those go down before continuing to try again with another antifungal.  You need to pull this every 2 months, not 4 months.  Low WBC generally indicates that the body is fighting an infection.  Elevated MCV generally indicates you need more folic acid.  It's possible that both are related to the high AST but you'll have to ask your doc about that.So here's what to do right now:  Call your doc and ask if the AST is too elevated and you need to stop the antifungal.  A little elevated isn't generally alarming for some docs and you can sometimes use some kind of liver support to correct it otherwise you'll need to stop and repull in a month to make sure they've gone down.  Once down start with another antifungal.  You'll also want to make sure that the WBC goes back up.  If it doesn't, you'll need to get to the bottom of that because there is an immune reaction going on that needs to be addressed. Cheryl~Visit my webstore for anything you need related to autism - groceries, supps, therapy supplies, books, and more!http://astore.amazon.com/grystai-20~Check out my blog:  http://www.gryffins-tail.blogspot.com/ I would love some input on this.  We had labs pulled on my 3 1/2 yr old last Nov prior to starting biomed.  Now, after 4 months on valtrex/difulcan, we pulled another round and I'm worried.  AST is high, WBC dropped in half, MCV is elevated.  Any input is welcome.  Here are the lab results:Nov '07CBC:WBC - 6.3RBC - 4.24Hemoglobin - 12.5Hematocrit - 36.1MCV - 85.3MCH - 29.5MCHC - 34.5RDW - 14.1Platelet Count - 212August '08CBC:WBC - 3.2 (Out of range - Low)RBC - 4.12Hemoglobin - 12.3Hematocrit - 36.7MCV - 89.1 (Out of range - High)MCH - 33.5RDW - 12.2Platelet Count - 164MPV - 9.7Liver Function:Albumin - 4.7Total Bilirubin - 0.3Direct Bilirubin - 0.1ALK Phos - 322AST - 48 (Out of range - high)ALT - 18Total Protein - 6.6Thanks in advance!------------------------------------

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AST in up to 48. We've been taking 1 week off from diflucan every 6

weeks, so our DAN said LFT wasn't necessary to do (wish I had done

them now!) We've pulled the LFT on a Thursday, switched from

diflucan to Lamisil on that Friday (was already a scheduled switch to

prevent fungal mutation/immunity to diflucan) and I dropped the

Lamisil 1 week later due to chronic diarrhea and yellowing of the

stools. We're not planning on restarting anti-fungals for 2-3 more

weeks (1 month off total)

Thanks so much for your input. I appreciate it!

Stacie

>

> > I would love some input on this. We had labs pulled on my 3 1/2

yr

> > old last Nov prior to starting biomed. Now, after 4 months on

> > valtrex/difulcan, we pulled another round and I'm worried. AST is

> > high, WBC dropped in half, MCV is elevated. Any input is welcome.

> > Here are the lab results:

> >

> > Nov '07

> > CBC:

> > WBC - 6.3

> > RBC - 4.24

> > Hemoglobin - 12.5

> > Hematocrit - 36.1

> > MCV - 85.3

> > MCH - 29.5

> > MCHC - 34.5

> > RDW - 14.1

> > Platelet Count - 212

> >

> > August '08

> > CBC:

> > WBC - 3.2 (Out of range - Low)

> > RBC - 4.12

> > Hemoglobin - 12.3

> > Hematocrit - 36.7

> > MCV - 89.1 (Out of range - High)

> > MCH - 33.5

> > RDW - 12.2

> > Platelet Count - 164

> > MPV - 9.7

> >

> > Liver Function:

> > Albumin - 4.7

> > Total Bilirubin - 0.3

> > Direct Bilirubin - 0.1

> > ALK Phos - 322

> > AST - 48 (Out of range - high)

> > ALT - 18

> > Total Protein - 6.6

> >

> > Thanks in advance!

> >

> >

> > ------------------------------------

> >

> >

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