Your blood tests, including the elevated liver enzymes and enlarged red blood cells, are clear signals that daily alcohol is straining your liver. While cutting back is a wonderful first step, completely stopping alcohol is the most effective way to allow your liver to truly heal and regenerate. Additionally, your blood pressure medication, Repace H (losartan/hydrochlorothiazide), requires healthy liver function to work safely. I gently encourage you to partner with your doctor to create a safe, supportive plan to gradually and successfully transition away from alcohol.

These medications were ordered by your doctor because they each address a distinct issue (blood sugar, blood pressure, insulin resistance, and complications) and help avoid major long-term harm. They may be expensive, but their superior efficacy, combined benefit, and ability to protect vital organs including the kidneys and heart make them the preferred option.

Repace H is a common combination of two generic medicines, losartan and hydrochlorothiazide, which work well together to lower blood pressure. Since your bottom number is consistently around 100, it is important to bring it down to protect your long-term health. Repace H is generally very effective, but because you are 33, it is crucial to know that this medication is not safe to take if you are pregnant or planning to become pregnant. Please discuss your family planning and any concerns with your doctor to ensure this is the safest option for you.

Having protein in your urine can sometimes suggest early kidney strain, which does carry long-term risks if left unmanaged. Fortunately, your daily Repace 25 (losartan) is excellent not just for blood pressure, but specifically for protecting your kidneys and reducing this protein leakage. Since you've been taking it for four years, you are already on a highly protective treatment plan. I gently recommend discussing these results with your doctor, who may want to run simple tests to monitor your kidney function and ensure you remain fully protected.