Is it normal for liver enzymes to go UP at first? — need advice

Clinical perspective, offered as context rather than as advice. The useful move here is to separate what is established from what is widely repeated. Those two sets overlap less than the confident tone of most write-ups suggests, and the second set is where nearly all the disagreement on this board comes from.

SleepDoc_PDX said:

One habit that pays for itself: post the method alongside the number.

Coming at SleepDoc_PDX’s question from a different direction. Take it one variable at a time. Almost every unanswerable question in these threads is unanswerable because three things changed in the same fortnight, and no amount of subsequent argument can untangle them after the fact.

Adding the numbers, since they settle part of this. Keep the original post as written when you update it, and add the correction underneath. An edited-away mistake is invisible to the next person who makes it.

Following on from SleepDoc_PDX — and this may be the naive question:

Did your prescriber agree with that reading, and if not what was their objection?

Moderator note: leaving this open. It is being argued well and the disagreement is the useful part.