Is it a problem if the transaminase levels fluctuate during pregnancy?

Patient's question:

Doctor, I'm 16 weeks pregnant, and my ALT levels keep fluctuating. This time during the prenatal check-up, it was high again. The doctor prescribed glutathione tablets and phosphatidylcholine capsules for me. However, I checked the labels, and they don't mention that they are safe for pregnant women. Should I still take them? How long should I take them for? Should I stop taking them once my ALT levels come down? Can I stop taking them myself? Will it harm the baby? I'm also taking various prenatal nutrients. Can I take them together?

Doctor's answer:

I'm glad to help clarify this for you. According to your description, your transaminase levels are elevated at 16 weeks of pregnancy. This indicates liver damage. It is recommended that you follow your doctor's advice and take medication. You can stop taking the medication once your transaminase levels return to normal, as it poses no interference to the fetus. It is advised that you avoid taking any nutritional supplements. A balanced diet is sufficient. You should eat more fruits and high-quality protein in your daily diet. Given that your transaminase levels are elevated, I wonder if it could be related to your intake of nutritional supplements. It is recommended that you pause taking nutritional supplements.

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