Sudden Elevated Bilrubin and Cholesterol

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.

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.

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

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.

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!!

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.

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.

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.

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.

Is there anything a wls patient can do to make the liver less taxed during the weight loss period? I am having RNY to have better liver health! Thanks.