Hi Avis,

  LDH can be high for a number of reasons and Dona needs to chat with
Dr. Cortes on this, 1000 is pretty high.  Please let us know what Dr.
Cortes says.  Roy had high LDH during diagnosis but never anymore and
during diagnosis, it is common to have high LDH as this is released
from the cell death going on of so many leukemia cells.

  Patients with muscle and joint problems have complained of high LDH.
Is Dona having any joint pains, etc?  You can easily check the liver
transaminases from a blood test to see if they are okay.  For any liver
problems, the AST, bilirubin and all the other liver parameters will go
up.  LDH is not specific to the liver, it can arise out of many
problems.  Roy does his liver function tests every 3 months, what about
Dona and were they all right recently?

Best Wishes,
Anjana
caregiver to Roy


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