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Hepatic Panel / Lowering ALT

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Vitamin E is the strongest antioxidant that relates to lowering ALT. Taking 500 iu a day has been useful in some studies, and 400 iu twice a day is the dose in other studies. But I would be taking at least 4oo a day as an HIV+ person anyway, and 500 mg C and a B-complex 25, on top of a multivitamin. Be sure you are getting 300 mg magnesium and 100-200 mcg of selenium too.

If after a month the ALT is still high, I would start taking 1 - 2 grams a day of N-acetylcysteine NAC. Do you have adequate protein in your diet, like 120 grams per day at least?

If your "lipids" are high, which was the higher number, your clolesterol or your triglycerides? If you are on Lipitor or equivalent for a triglyceride problem, switch to 3 gm/day EPA/DHA fish oils and use a 2-3 grams of L-carnitine/day to lower your blood fats.

Statin drugs are not appropriate for treating a malignant triglyceride problem. They just create modest symptomatic improvement. If left untreated, the triglycerides cause large jumps in TNF, which promotes all kinds of re-arrangements in metabolism, but particularly diabetes and fat cell emptying.

Charlie Smigelski RD

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