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I just had to stop accutane after my derm gave my blood test from the first 2 weeks (i was on 5mg to start) to my doctor!!! I have been on 20 mg for 4 days and have to stop and go check it out she said they are spiked!!

What can be done!!!???? What did you do for this problem?!? I have really mild acne, but use topicals and hate doing so, and have incredibly oily skin that I have to blot every 2 hours or it looks horrible! My life is horrible with it!! I cant go on like this what can be done!?!??!!?!?

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I just had to stop accutane after my derm gave my blood test from the first 2 weeks (i was on 5mg to start) to my doctor!!! I have been on 20 mg for 4 days and have to stop and go check it out she said they are spiked!!

What can be done!!!???? What did you do for this problem?!? I have really mild acne, but use topicals and hate doing so, and have incredibly oily skin that I have to blot every 2 hours or it looks horrible! My life is horrible with it!! I cant go on like this what can be done!?!??!!?!?

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no. not a sip. I take Vitamin C (1g) Zinc (50mg) and Flaxseed Oil (30ml) daily. My dad read that these could cause Liver Damage. I have a very VERY strange diet, in which I eat a hungy man boneless chicken dinner (or 2) every day for the main meal, always drink crystal light, and eat some grapes and tostitos. they are things that taste good that dont seem to break me out. Niacin is in the hungry mans, and my dad read it could cause liver damage.

We are going to figure this thing out. We have to. I'm not continuing life without taking accutane, i cant. And Im sure theres a way to lower it. But does anyone have any idea on what i should do? This happen to anyone before?

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I bet your levels were high prior to starting; but you won't know if you didn't get them tested. There are MANY reasons for elevated liver enzymes. Ask your doc to run further tests to isolate the reason; or after you've followed a liver-healthy diet for a month.

Don't drink any alcohol (as you know). Avoid tylenol/acetaminophen. Avoid ibuprofen, etc like the plague. Research more on the supplements you're taking; you may have to STOP them.

Eat regular real meals, not frozen, prepared foods. There are so many preservatives in them that the liver and kidneys have to metabolize. NO soft drinks. Have you recently taken antibiotics? Cholesterol meds? ANY kind of med, including over the counter stuff?

Here are some good diet and other informations about things to avoid to protect the liver:

http://www.hepfi.org/living/liv_caring.html

Diet and Your Liver

Overview

Poor nutrition is rarely a cause of liver disease, but good nutrition in the form of a balanced diet, may help liver cells damaged by hepatitis viruses to regenerate, forming new liver cells. Nutrition can be an essential part of treatment. Many chronic liver diseases are associated with malnutrition.

Watch the Protein

To quickly determine your daily protein in grams, divide your weight in pounds by 2. Too much daily protein may cause hepatic encephalopathy (mental confusion). This occurs when the amount of dietary protein is greater than the liver's ability to use the protein. This causes a build up of toxins that can interfere with brain function. Protein is restricted in patients with clinical evidence of encephalopathy. However, controversy exists regarding the type of protein a diet should contain. Vegetable and dairy protein may be tolerated better than meat protein. Medications, such as lactulose and neomycin, may be used to help control hepatitis-related encephalopathy. Due to the body's need for proteins, protein restriction should only be undertaken with a doctor's advice.

Watch the Calories.

Excess calories in the form of carbohydrates can add to liver dysfunction and can cause fat deposits in the liver. No more than 30% of a person's total calories should come from fat because of the danger to the cardiovascular system. To figure out your daily calorie needs, you'll need a minimum of 15 calories a day for each pound you weight. Watch the Salt Good nutrition also helps to maintain the normal fluid and electrolyte balances in the body. Patients with fluid retention and swelling of the abdomen (ascites), or the legs (peripheral edema), may need diets low in salt to avoid sodium retention that contributes to fluid retention. Avoiding foods such as canned soups and vegetables, cold cuts, dairy products, and condiments such as mayonnaise and ketchup can reduce sodium intake. Read food labels carefully as many prepared foods contain large amounts of salt. The best-tasting salt substitute is lemon juice.

Watch Vitamins A and D

Excessive amounts of some vitamins may be an additional source of stress to the liver that must act as a filter for the body. Mega-vitamin supplements, particularly if they contain vitamins A and D, may be harmful. Excess vitamin A is very toxic to the liver.

Beware of Alcohol

You'll need to stop drinking completely to give your liver a break - a chance to heal, a chance to rebuild, a chance for new liver cells to grow. This means avoiding beer, wine, cocktails, champagne, and liquor in any other form. If you continue to drink, your liver will pay the price, and if your doctor is checking your liver function tests, it may be hard to determine if a change in a test means there has been damage to your liver due to the disease itself or because of the alcohol.

Beware of Alcohol and Acetaminophen

Acetominophen is an ingredient in some over-the-counter pain relievers, and is contained in many over-the-counter drugs used for colds or coughs. Taken with alcohol, these products can cause a condition called sudden and severe hepatitis which could cause fatal liver failure. Clearly, you should never combine these two substances. If you have any doubt about what medicines to take simultaneously, ask your doctor.

Beware of "Nutritional Therapies"

Herbal treatments and alternative liver medicines need to undergo rigorous scientific study before they can be recommended. "Natural" or diet treatments and herbal remedies can be quite dangerous. Plants of the Senecio, Crotalaria and Heliotopium families, plus chaparral, germander, comfrey, mistletoe, skullcap, margosa oil, mate tea, Gordolobo yerba tea, pennyroyal, and Jin Blu Huan are all toxic to the liver.

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Thank you so much for that post. That was truly the most intelligent helpful post Ive ever seen on acne.org.

I last took the pill Monday night, so I stopped taking it and stopped all supplements/ flaxseed oil/ frozen meals and am taking another blood test monday. I called the doc and she said they arent SPIKED, just slightly higher than before accutane (they were already high), and that we need to figure out whats going on. Hopefully tuesday when she gets the results and calls me, shell tell me I can continue with the tane until the pills run out and I have to get another blood test.

anyone else had to do all this?

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Thank you so much for that post. That was truly the most intelligent helpful post Ive ever seen on acne.org.

I last took the pill Monday night, so I stopped taking it and stopped all supplements/ flaxseed oil/ frozen meals and am taking another blood test monday. I called the doc and she said they arent SPIKED, just slightly higher than before accutane (they were already high), and that we need to figure out whats going on. Hopefully tuesday when she gets the results and calls me, shell tell me I can continue with the tane until the pills run out and I have to get another blood test.

anyone else had to do all this?

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I just got back from a Dermatologist appt. and my liver functions were elevated as well.

I've been on Accutane for a little more than 2 months now, and I'm seeing results. However, the doc ordered me off the meds until I get a new APL test done to see if the first blood work was inaccurate. Hit me like a ton of bricks. I'm depressed and stunned. I really DO NOT want to get off this medication. I do not drink alcohol and I've been eating a lot better and exercising.

I can't go back to the breakouts I was getting before. :wall:

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I just got back from a Dermatologist appt. and my liver functions were elevated as well.

I've been on Accutane for a little more than 2 months now, and I'm seeing results. However, the doc ordered me off the meds until I get a new APL test done to see if the first blood work was inaccurate. Hit me like a ton of bricks. I'm depressed and stunned. I really DO NOT want to get off this medication. I do not drink alcohol and I've been eating a lot better and exercising.

I can't go back to the breakouts I was getting before. :wall:

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and to the above poster: since your ALP test was abnormally high...did she also take other tests and determine if they were normal or not? Higher ALP levels can indicate either bone or liver damage. Bone if calcium and phosphate levels are high, liver if bilirubin and other levels associated with the liver are high.

These tests should be done FASTING. Do not eat for several hours before the blood test. An artificially high level can result for some people if they eat anything at all within 6 or so hours of having the blood tested.

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If I dont eat for a day or 2 before the blood test, could I trick it into thinking I have lowered liver enzymes?

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If I dont eat for a day or 2 before the blood test, could I trick it into thinking I have lowered liver enzymes?

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so just, I should eat the night before, or... damn it. this sucks. this is so hard.

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Wynne, how long should I avoid cardio exercise before my bloodtest? I just found out that cardio exercise can raise liver enzymes... and I do cardio daily...

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Wynne, how long should I avoid cardio exercise before my bloodtest? I just found out that cardio exercise can raise liver enzymes... and I do cardio daily...

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What would you say is a liver healthy meal?

A ceaser salad or 2, with 2 baked potatos, a bunch of grapes, and 2 5-piece chicken nuggets?

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thanx mandy_ann for the other link.

One quick question here: Is it possible for the liver enzymes to be "temporarily" elevated until whatever medicine you took digests? So after a few hours, they will be at normal again?

@polaroid: i'm sort of in the same boat as you, my levels were slightly high with antibiotic.

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What would you say is a liver healthy meal?

A ceaser salad or 2, with 2 baked potatos, a bunch of grapes, and 2 5-piece chicken nuggets?

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thanx mandy_ann for the other link.

One quick question here: Is it possible for the liver enzymes to be "temporarily" elevated until whatever medicine you took digests? So after a few hours, they will be at normal again?

@polaroid: i'm sort of in the same boat as you, my levels were slightly high with antibiotic.

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Hmm, my dermatologist said that fasting was not required for the ALT Alanine transaminase test, unlike my normal testing procedures while on Accutane.

I didn't get my blood tested today specifically because of your statement that I needed to be fasting. I've been trying to find information on fasting and the ALT test, but I'm not seeing this information.

I'm going to need to get my blood tested ASAP, because if the test was an abberation, I want to get back on Accutane immediately.

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I've read that it happens to people that are overweight, yeah. Too bad I'm actually underweight. 5'9 male, weigh about 135 lbs. Damn.

But yeah, I hope itll be okay, the other thing is that after that first test, my dermatologist upped my dosage from 5mg to 20mg without a problem but just told us to let our pediatrition know. Once we showed her the test results, she told me to stop until we figure this out. So, hopefully they arent terrible. I called and the doc said they are just KINDA high, not spiked. If I dont get back on tane of at least 20 mg for 6 months i dunno what I'm gonna do with myself.

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