What are the potential causes of elevated liver enzymes (SGOT 49, SGPT 112, GGT 79) and persistent fatigue in an overweight individual currently undergoing treatment for hypothyroidism (TSH 5.5 on Thyronorm 50 mcg), and could these findings be related to the long-term use of pain medications for chronic plantar fasciitis?
Your mild liver enzyme elevations and fatigue are likely due to three connected factors. First, being overweight can cause fatty deposits in the liver, raising enzymes like SGPT. Second, your TSH of 5.5 indicates your hypothyroidism might be slightly under-controlled on Thyronorm, which directly causes fatigue. Lastly, long-term use of pain relievers, like NSAIDs or paracetamol, can certainly stress the liver. I gently encourage you to consult your doctor to discuss adjusting your thyroid therapy, reviewing your pain medications, and exploring gradual lifestyle changes.