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What was I supposed to do next
The answer depends on the patients overall health, dialysis status, and medical history
Check list: Hepatitis B and C serology : Even in low-risk individuals, this should be screened once Ferritin and iron saturation : Screen for hemochromatosis (ferritin greater than 300 ng/mL with iron saturation greater than 45%) Autoimmune markers : ANA, anti-smooth muscle antibody, IgG levels (for autoimmune hepatitis) Celiac panel : tTG-IgA (celiac disease causes unexplained ALT elevation in 10% of cases) Thyroid function : Both hypo- and hyperthyroidism can elevate liver enzymes Liver ultrasound : Assess for hepatic steatosis, fibrosis, or structural abnormalities FibroScan or FIB-4 index : Non-invasive fibrosis staging if NAFLD is confirmed Do not accept slightly elevated as a permanent status
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Clayman, MD, FACS, FACE, senior author of the white paper and an extremely high-volume thyroid cancer surgeon
Frequently asked questions What is Ipamorelin used for in research
