I just got back from vacation and I took my blood test on Monday. My doctor called me this morning on my way to work saying that my blood levels were elevated and I have to get it done again tomorrow. Accutane is working wonders for my skin and I do not want to be taken off the medication. I ate a lot of junk food on the road and during vacation so I am not sure if that might be a reason in the elevation. I just don't want to be taken off of the drug! By the way, it is day 22 and still no side effects except dry skin and lips.