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 Subject : Dark Chocolate and Liver Enzymes.. 01/11/2018 09:58:39 PM 
Emily Wetherholt
Posts: 10
Location
Hello Everyone,

I have a patient who's liver enzymes have been periodically above the upper limit of normal, but below x2 ULN for the past three years. A liver ultrasound was done 3 years ago with unremarkable results. The PCP wants to redo the ultrasound now that they levels are elevated again, but the patient is refusing the test. The patient stated she heard from a friend that eating too much dark chocolate may be the cause of her abnormal lab results. Does anyone have any experience with this?

Pt is a 65 y/o female with type 2 Diabetes Mellitus A1C 7, not maxed out on metformin but dosage was just increased.

Any thoughts on this chocolate idea, or how to convince the patient to get the ultrasound, or thoughts that the PCP is being too cautious would be greatly appreciated.

Thanks in Advance!
Emily Wetherholt
Emily Wetherholt PharmD, BCACP
 Subject : Re:Dark Chocolate and Liver Enzymes.. 01/11/2018 10:59:41 PM 
Harry M Zollars
Posts: 24
Location: Bethalto, IL
Emily,

A quick look on Pubmed with a Mesh search for "Chocolate" and "Alanine Aminotransferase" (ALT) pulled up this single article:

https://www.cambridge.org/core/journals/british-journal-of-nutrition/article/daily-chocolate-consumption-is-inversely-associated-with-insulin-resistance-and-liver-enzymes-in-the-observation-of-cardiovascular-risk-factors-in-luxembourg-study/BBAF4259D8D3FFB686381DB253F09DB5

Otherwise, I can't find anything about chocolate and liver health.
Pharmacy Manager
Sullivan's Drugs
Mount Olive, IL
217-999-7321
 Subject : Re:Dark Chocolate and Liver Enzymes.. 01/16/2018 01:47:23 PM 
Kristen A (Komaiko) Niedbalski
Posts: 64
Location
Emily.... this is no kidding matter! Harry saved the day and now i can eat chocolate in peace! ;)
 
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