Jenny, The vitamin A lover
by Chayapitcha Saesue
1. Facts
1.1. Non-smoking and non-drinking
1.2. Drink 3 cups of carrot juice
1.3. No other disease
1.4. Eat organic food
1.5. Vaccine hepatitis A&B
1.6. Take multivitamin 1 tablets a day
1.7. Take fish liver oil 1 capsule a day
2. Lab results
2.1. Elevated Vitamin A
2.2. Liver work properly
2.3. Normal Bilirubin and Albumin level
2.4. Normal urine color
2.5. 📈ALT/AST partially high
2.6. Normal Thyroid function test
2.7. Normal fasting blood sugar test
3. Symptoms
3.1. Palms and soles turn yellow
4. Suggesting treatment
4.1. 👭Change her daily routine
4.2. Stop taking
4.2.1. 💊Vitamin A
4.2.2. 🥕Carotenoid
5. Diagnosis
5.1. Hypercarotenemia
5.1.1. Caused by
5.1.1.1. Taking
5.1.1.1.1. Vitamin tablet
5.1.1.1.2. Fish oil
5.1.1.2. 🥬Raw vegetable
5.1.1.3. 🥕3 cups of carrot juice per day
5.2. Chronic liver stigmata
5.2.1. Enlargement of liver❌
5.2.2. Icteric sclera❌
5.2.3. Dilate superficial vein❌
5.2.4. Ascites❌
5.2.5. High Bilirubin❌