I really haven't paid attention to my liver function numbers (which is included with each Complete Metabolic Panel), and my CML specialist never calls it out. I just figured that my liver handles Gleevec without undo stress. However, I decided to look back and I have a trend of total bilirubin >= 1.2 that has persisted for quite some time - actually, for most of my CML journey! Prior to and a few months following diagnosis in 2011, my bilirubin was a comfortable 0.8, but then it jumped into this 1.2+ range and it looks like it's been at that higher level ever since. The 2.0 from my bloodwork last week really caught my eye - yikes.
I'm not on any other daily medications ... just the occasional Aleve for inflammation/sports, and a moderate red wine routine (1 - 2 small glasses most nights). My other liver function counts are normal.
Do any others of you have a pattern of high-normal and/or mildly-elevated bilirubin, and if so, what does your oncologist think about it? Is this a sign of liver stress that I need to have examined further?
Thanks for any insights!
4/2013 10/2013 1/2014 4/2014 8/2014
Bilirubin Total 1.2 1.7 1.2 1.2 2.0
AST 27 37 88 32 30
ALT 14 20 41 17 15
AP 53 44 59 50 47
Albumin 4.5 4.5 4.7 4.7 4.7