I am a 37 year old woman who was diagnosed with sero-negative rheumatoid arthritis 3 years ago. I discontinued methotrexate and Enbrel therapy about 2 years ago. Routine blood tests recently showed a multitude of abnormalities: Creatinine 1.10 (.58-1.06 is normal range), eGFR 56 (>=60 is normal range), Alkaline Phosphatase 203 (33 - 115 is normal range), ALT SGPT 46 (6 - 40 is normal range), Triglycerides 223 (<150 is normal), VLDL Cholesterol 45 (5 - 35 is normal range), LDL Cholesterol 150 (<130 is normal).
I feel bad - fatigue, itching, diarhea or constipation most of the time, hair loss, joint pain, twitches and muscle tics, muscle weakness, intermittent pain in my upper right abdomen. I have had my gall bladder removed and a history of kidney stones requiring lythotrypsy.
My family practitioner wants to wait 3 months and then test again. However, I am concerned because my understanding is that these test results could be indicative of kidney and liver damage. Any suggestions about what this could be caused by and what type of specialist I can follow up with for a second opinion?