Conversation: The conversation between human and AI assistant.
[|Human|] I have chronic hep C and my enzymes have tripled in the last year. Trying to figure out why? I stopped taking oxycotin and started taking tramadol? I also started taking time released 5HTTP? My stress level is through the roof but I think I read stress does not affect hep c?
[|AI|]  Serotonin or 5HTTP might be the cause of increase in your liver enzymes. It is metabolized in the liver and this could cause an elevation of your liver enzymes. You need to do the following 1 Taper off your dose of 5HTTP lowering 5 mg every week until you completely stop the drug.2. Keep your weight within range.3. Wait for 3 weeks after stopping 5HTTP and then retest your liver enzymes.  If your liver enzymes are still elevated you need to go to a gastroenterologist who will do a whole panel of tests for HEPA