Conversation: The conversation between human and AI assistant.
[|Human|] I had a GGT test 5 years before and it was as low as 13. Today I have repeated the test and it is 67.  I need the result not to be higher than 50 because I have to submit it to the embassy. I have been taking nexium for over 4 years. so, I stopped it for 9 days and then measured the GGT. I was surprised that it increased to 90. Could Nexium be causing the problem ? and how long I have to stop it in order to the GGT level return to normal?
[|AI|]  Hi, GGT is a marker of liver disease. Cesium is a proton pump inhibitor, there is no documented evidence of interaction of Cesium with liver causing effect on levels of alkaline phosphatase. However, if you feel like you feel better on Cesium, then you can continue with it. However, I would advise you tests for liver to find out the reason for rise of the liver enzymes. PPI's have no significant effect on it. Hope I have answered your query. Let me know if I can assist you further.