Liver enzymes were one of the only things that ever came back abnormal for me from standard doctors before I even knew about having Lyme or began treating it. When I went on Rifampin last year and started doing glutathione IV's, my liver enzymes immediately lowered and have stayed in the normal range for almost an entire year.
Recently I decided to drop several antibiotics. I started to try some Chinese herbs but didn't feel any positive effects and was having an issue with the consistency and taste of the powders so I stopped those very quickly. I then strictly started to follow a vegan low-fat diet recommendation suggested by an ILADS-affiliated doctor who believes I may have issues with biofilms or protozoal infection. I also added nattokinase, serrapeptase and a mixed enzyme and continued to not eat sugar or gluten. I eliminated caffeine and magnesium as well. My most current LFT shows elevated ALT, AST and Bilirubin and slightly low potassium. My liver enzymes are pretty much back to square one. They are close to the highest level that they've ever been. The medications that I currently take are not new. I've taken them very long-term. So my one objective improvement that can be measured by lab tests appears to be regressing now again.
It was suggested that the elevations may be from malnutrition. I don't think that's it. I have been absolutely starving over the last several weeks and eating far more than I used to. Mainly gluten free cereals, almond milk, veggie burgers, rice, oatmeals, fruits and vegetables. I have not restricted in terms of calories and I haven't had any additional weight loss although I was already considered borderline underweight with a BMI of 17.2.
I did notice an increase in heart palpitations, pain and fatigue. I have really not felt up to doing anything lately. All I want to do is sleep. There were many other components to the biofilm protocol but for the first time, I didn't feel well enough to jump into everything at full strength.
My thoughts are that this increase in liver enzymes is likely due to going off Rifampin (although there is a reason I don't want to go back on). I also think that it could be a result of eliminating magnesium and adding systemic enzymes both of which may be increasing the absorption of antibiotics and the dieoff of bacteria which would be filtered through my liver. I also think that it's possible that one of the infections is starting to regain control of things now that I drastically weakened my treatment protocol.
I don't know. I'm speculating like everyone else I guess. I'm waiting to hear back from doctors that are consulting about what to do. I won't get upset this time about going off things or testing for other contributing factors. At this point as long as a proposed treatment doesn't involve steroids or addictive substances, I will try anything.