Re: 1 year check-up

[Guest guest]

,

At five years out, I had a " spike " in my liver enzymes which I had *never*

had before. I was freaked, but a few weeks later, they were perfectly

normal again. I suggest having your PCP check them in six weeks or

something. They told me they fluctuated, but I didn't believe them until

they returne to normal so quickly.

in Austin

RNY April 1998

1 year check-up

> Well, I had my 1 year check-up yesterday and my doctor said everything was

fine. He did make a comment about my liver enzymes, but said he didn't

think it was anything to worry about. I'm not so sure. He doesn't think I

need to see him again for a year, and what if they get worse during that

time. Anyway, the number he's worried about is the ALT (SGPT) and it has

gone from 29 at 6 months post-op to 56 at 1 year. Normal range is 0-40,

according to LabCorp. I'm going to check with my PCP and try to get my

pre-op numbers. Does anyone know anything about this?

[Guest guest]

Although your surgeon may not need to see you for another year, your

PCP should follow you with regular labs. If he is not familiar with

WLS, take a list of your last labs to him and ask him to do regular

testing and monitoring-I'd suggest every 6 months. Also you should

have an annual bone scan so that you can check to see that the

calcium supplements are being properly absorbed.

Cindy

> Well, I had my 1 year check-up yesterday and my doctor said

everything was fine. He did make a comment about my liver enzymes,

but said he didn't think it was anything to worry about. I'm not so

sure. He doesn't think I need to see him again for a year, and what

if they get worse during that time. Anyway, the number he's worried

about is the ALT (SGPT) and it has gone from 29 at 6 months post-op

to 56 at 1 year. Normal range is 0-40, according to LabCorp. I'm

going to check with my PCP and try to get my pre-op numbers. Does

anyone know anything about this? Also, he said that I've only lost a

little muscle mass and have mostly lost fat, so that may be why I

haven't seen a bigger number loss, but have lost a lot of sizes.

(I've lost 145 pounds and gone from a 32W to a 16W or an 18 Misses)

I saw a different surgeon than the one who did my RNY, and he told me

that I should keep losing for the next year and that they would be

happy, if I lost another 20 pounds, because than I'd be at the 75%

mark. I found that very enlightening. Thanks--

>

> in FL

> RNY 8/2/02

> Dr. Marema

> 369/224/?

>

>