elevated liver enzymes post-RNY anyone?

I'm posting this on the RNY & DS forums because RNYers & DSers both supplement more than other WLS.  I suspect (hope?) that this problem can be rectified w/ diet and/or supplement changes of some kind. 

My liver enzymes have been normal my entire life until after my RNY, at which time they started slowly rising.  They have now risen to the point where my PCP wants me to see a GI specialist.  I called my RNY surgeon who states that that is NOT typical in most post-op patients and that I should go see the GI specialist. 

I don't drink or do drugs and I eat healthy.  I do supplement with protein powder and I take only the vitamins recommended by the ASMBS nutrient/vitamin recommended amounts.  (I read that Splenda can cause elevated liver enzymes due to the poisons in it that allow the chlorine molecule to bond w/ the what-was-sugar molecule in place of the carbon molecule it's replacing.  So I even quit Splenda to see if it would lower the enzymes.  No cigar.)

I have researched this issue and have found no correlation between RNY and increased liver enzymes post-op. BUT, I did find a lot of information that states that body builders who supplement with protein powders have repeatedly been advised to stop the protein powder whenever their liver enzymes become elevated. 

Anyone have any relevant info to share on this topic?

Thanks

Wen

PS... The details follow.

My liver lab results from back to my my 1st 6 month post-op lab to now.

Test Name	Reference Range	02/13/08 Result	05/13/08 Result	04/29/09 Result	08/06/10 Result	09/24/10 Result	01/28/11 Result	03/25/11 Result	03/30/11 Result
TP (Total Protein)	6.3 - 8.2	6.7	6.8	7.4	6.9	6.5	6.9	7	6.7
ALB (Albumin)	3.5 - 5.1	3.9	3.8	4.1	4.1	3.7	4.3	4.3	4
AST(SGOT)	17 - 59	18.0	40.0	58.0	125.0	82.0	84.0	109	86
ALT(SGPT)	21 - 72	18.0	18.0	73.0	189.0	144.0	156.0	158	141
ALK PHOS	38 - 126	64.0	57.0	54.0	53.0	54.0	56.0	60	52
CON. BILI (Direct Bilirubin)	0.0 - 1.1	0.0	0.0	0.0	0.0	-	0.0	0	-
Bu (Indirect Bilirubin)	0.0 - 1.1	0.4	0.4	0.4	0.6	-	0.4	0.3	-
TBIL (Bilirubin Total)	0.2 - 1.2	0.3	0.5	0.4	0.3	0.3	0.2	0.2	0.2

The vitamins I take daily.
1 prescription multi-vitamin (therobec)
1 super B complex (used to do 2 daily until the enzymes started worrying me)
8 calcium per day (2 tablets 4 x per day for a total of 2550 mg per day of calcium citrate & 2000 iu of vitamin D)
1 2500 mcg sublingual B-12

I used to take Lexapro for GAD but stopped it when my liver enzymes kept going up because I read it can increase them.  I hoped that would lower them.  No cigar.  I take no other prescription meds.  (I'm supposed to take salt tablets for chronically low blood pressure, but it is literally like taking ipecac - so I just salt the bajesus out of my food.) 

Last but no least, I have NO symptoms.  In fact, I feel just fine and dandy - other than worrying about the elevated liver enzymes!

Edited to add:  I forgot to add, I started at about 255 - 260 lbs when I had my RNY 08/20/07 and dropped almost all my weight in the first 6 months.  I've maintained at well below my original goal - staying right around 130 lbs since I raised my calories to stop losing and have maintained with no trouble what-so-ever.  (I've seen "people" - not medical professionals - but just "people" say that losing weight causes elevated liver enzymes - but I am not losing anymore and haven't been since I started maintanence.  So it's not that.)

If you figure it out, share it here please!! 

do you take tylenol?

I had elevated liver enzymes when I was diagnosed with chronic fatigue and fibromyalgia.. and was told that exposure to, or re-enactment (wrong word?)..... a resurgence of an old epstein barr virus (I think that was it) .... .

I have taken Tylenol before, but no not usually.  In fact, unless you count whatever Tylenol was in the cold medicine I took this year, I haven't taken Tylenol in years. 

see the specialist, tell us what he tells you!!!

i will!

my liver enzymes did the same thing and it turned out i was having some bile blockage coming from my liver which caused my liver to back up but was fixed with an ECRP

did u have any symptoms other than the elevated enzymes?  how did they diagnose u?

I had elevated liver enzymes since I was a 18. No one could figure it out. But then I had my gallbladder out when I was 27 and BAM. Liver enzymes resolved. There is a correlation in some people between gallbladder and liver enzymes. Do you still have your gallbladder? You may be asymptomatic at this time (I had gallbladder attacks few and far between, and had NO idea what they were) but if you still have it, it's worth looking into.

No.  My gallbladder's been gone since my RNY. 

 Have you used a product like Jullian Michael's cleanse and restore?  I guess it is about the same as all total body cleanse.  I used one last summer and my liver enzmes got so high that the doctor was sure I had contact hepatitis.  Was pleased when I found it  was the above product that caused it.