Sudden Elevated Bilrubin and Cholesterol

Lalagigi
on 10/11/18 8:03 am
VSG on 10/23/17

I am nearly 1 year out from surgery and within 10 pounds of my personal goal weight of 145. I had my blood work done during my semi-annual checkup with my PCP. They found my bilirubin had suddenly elevated to 1.4 and my cholesterol jumped 40 points in 6 months. I am scheduled for an ultrasound on my liver next week to make sure it's nothing serious. I have never had any issue with my liver before.

The cholesterol thing has me a bit upset. I was expecting to get off my low-dose statin and instead, my doctor is doubling it. WTH? Has anyone else experienced unusual medical issues like this? I see my NUT in two weeks for my 1-year check-in and will discuss this with her. Thanks.

Lalagigi
on 10/11/18 8:10 am
VSG on 10/23/17

Also, I have been fully compliant with my vitamin regimen and eat a fairly low-fat diet of mostly chicken, fish and lean pork. I include veggies fresh fruit when possible.

Gwen M.
on 10/11/18 8:20 am
VSG on 03/13/14

Which part of your cholesterol increased to cause the increase in what I assume is total cholesterol?

VSG with Dr. Salameh - 3/13/2014
Diagnosed with Binge Eating Disorder and started Vyvanse - 7/22/2016
Reconstructive Surgeries with Dr. Michaels - 6/5/2017 (LBL & brachioplasty), 8/14/2017 (UBL & mastopexy), 11/6/2017 (medial leg lift)

Age 41 Height 5'4" HW 319 (1/3/2014) SW 293 (3/13/2014) CW 149 (7/16/2017)
Next Goal 145 - normal BMI | Total Weight Lost 170

TrendWeight | Food Blog (sort of functional) | Journal (down for maintenance)

Lalagigi
on 10/11/18 10:26 am
VSG on 10/23/17

Six months ago, only my LDL was 115 and my total cholesterol was 205. This time my LDL is 169 and cholesterol is 242. All other levels continue to be within normal range.

Citizen (USA & Brit) Kim
on 10/11/18 12:05 pm, edited 10/11/18 10:14 am - Castle Rock, CO

Did you fast before? I was told not to and had a ridiculous result (I've always fasted before). I'm not trusting my result until I have my next one in March, which i will fast for. (I'm already on a low dose prophylactic statin). My PCP wasn't concerned at all either!!

Proud Feminist, Atheist, LGBT friend, and Democratic Socialist

Lalagigi
on 10/11/18 12:10 pm
VSG on 10/23/17

Oh, I definitely fasted - over 16 hours and boy, was I hungry when that was done. I will have new bloodwork done by my NUT in two weeks and will be interested to compare results.

Citizen (USA & Brit) Kim
on 10/11/18 9:20 am, edited 10/11/18 2:21 am - Castle Rock, CO

Weightloss is very hard on the liver, which is why we recommend no alcohol in the first year.

If I had a dollar for every time someone had a hinky liver result of some sort which miraculously resolved in year 2, I'd be rich!

I'll keep my fingers crossed that you are my next dollar.

Proud Feminist, Atheist, LGBT friend, and Democratic Socialist

Lalagigi
on 10/11/18 10:30 am
VSG on 10/23/17

Thank you, Kim. I hope the liver is nothing to worry about as I have always been extremely healthy ****il middle age set in). I hardly ever drink alcohol and if I do, it's only a sip or two. The cholesterol thing is really bothersome. I expected to be off meds long before now and was encouraged at my bloodwork early this year.

Au_Contraire
on 10/11/18 3:10 pm

My cholesterol also went up a bit at around the 1-year mark. I am the same way you are with alcohol, and I have been very careful with my diet protocol. I think this will resolve in year 2, too. Keep an eye on it for sure, but remember it is not at all uncommon to see an uptick during the weight loss phase.

Laura in Texas
on 10/11/18 9:43 am

I'm with Kim. You have lost a lot of weight very quickly so I bet your body is just adjusting. We have seen it a lot here.

I am glad your doctor is doing an ultrasound just to be sure.

Laura in Texas

52 years old; 5'7" tall; HW: 339 (BMI=53); GW: 140 CW: 150 (BMI=24)

RNY: 09-17-08 Dr. Garth Davis

brachioplasty: 12-18-09 Dr. Wainwright; lbl/bl: 06-28-11 Dr. LoMonaco

"If what you're doing doesn't work, change what you're doing - don't complain that it doesn't work."

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