Hello. I completed tx with Harvoni about a month ago. The virus was undetected at weeks 4 and 8 of treatment and I won’t be tested again until 12 weeks post tx. I funded my own liver panel lab tests two weeks after eot and then again three days ago. My ALT and AST levels had risen on the first one but still in normal range. On the second test they had both risen more, ALT 30 which is just out of normal range.

So, my question is: Can edible cannabis taken a week prior to lab test cause elevations in liver enzymes? I had tried a commercial cannabis lemonade (I live in California) three nights in a row about a week before this last lab test. I also smoke each night for my insomnia. I have smoked nightly for about 3 years. I am very worried that the virus is not gone since my enzymes have stepped up more on each test. Also, this last test was done in late afternoon and I had fasted only for 6 hours prior.

Regarding the high serum levels of B12. I just recently read that because B12 is stored in the liver, if the liver is not healthy, more B12 might be circulating in the blood since the liver cannot effectively store it.