Hi John,

Diabetes is 3 x as common in people with Hep C.

It’s also considerably more common in people who are overweight.

Diabetes just needs to be looked at, and treated, on its merits with no consideration of the Hep C.

We do see pre-diabetes resolve in overweight patients who loose weight, but this is easier said than done. The diabetes medication Metformin is the commonest starting med and interestingly helps about 50% of people lose some weight.

Fantastic news splitdog!

https://www.youtube.com/watch?v=Fo6aKnRnBxM

Hi Tanya,

Sorry to hear it’s not entirely smooth sailing.

Hep C is a neurological disease, and many patients get what is loosly called “brain fog”. Now this probably means “brain not working quite as fast” so it’s not unreasonable to suggest that your brain may be becoming “de-fogged” and that’s why you’re getting a bit of anxious thinking.

Add in that it is stressful wondering if you’re going to get cured, and that some people do get some side effects from any medication (these ones included)…

I’d be agreeing with your doctor that we expect it to all settle down when you finish the pills and the comparison between the before and after you will show the “new you” is in a better state of health.

Best Wishes

Hello kaju,

20,000 steps is a lot. Particularly where is it hot and humid, but also with people exercising without enough water intake we see these enzyme rises due to mild muscle damage.

So please make sure you get enough water when exercising. For most people getting enough water means you need to urinate several times a day and that urine is ~ 1/2 way between clear water color and dark urine colour – too much water and it becomes very pale, not enough water and it becomes very dark.

Hi Mindy,

Sorry to hear all is not well after treatment. One thing I regularly remind my patients about is this:

Getting treated for Hep C provides no protection from all the other diseases of ageing so if you are not right, particularly after treatment when the medications have washed out of your system and the virus is gone – then see a doctor.

It would be a good idea to get a viral load. While the success rate of Maviret is high it is not 100% so if you are 8 weeks out from treatment getting your old Hep C symptoms back there is the worry of relapse. Hopefully, that’s not the case, but we do need to check.

Hello Kaju,

You are overdoing the exercise.

While we see elevated AST and ALT with liver problems we see elevated

LDH
AST
ALT
CK

(All of which you have) when people damage their muscles.

This fits well with the fluctuations we are seeing.