Non-Alcoholic fatty liver disease

Bornstarch

Bornstarch

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Does anyone have this? My bloodwork has shown the last 3 times that I have high ALT, which is indicative of a liver not functioning correctly. I don't drink alcohol or any other beverage. I only drink water. My physician yesterday ordered an MRI of my liver. What's weird how the previous physicians never worried about it, but this guy was. I hate how every time I set up an appointment, it's a roll of the dice to see which physician I get to talk to. I don't know who's right. The previous people who didn't bother to set me up for an MRI or this guy from yesterday.

My health is falling apart. I never would have thought I'd have health issues since I live a pretty healthy life. Don't drink, don't smoke, cardio 5 days a week. And yet I have high total cholesterol, my liver's not functioning properly, along with other shit.
 
Bornstarch said:
Does anyone have this? My bloodwork has shown the last 3 times that I have high ALT, which is indicative of a liver not functioning correctly. I don't drink alcohol or any other beverage. I only drink water. My physician yesterday ordered an MRI of my liver. What's weird how the previous physicians never worried about it, but this guy was. I hate how every time I set up an appointment, it's a roll of the dice to see which physician I get to talk to. I don't know who's right. The previous people who didn't bother to set me up for an MRI or this guy from yesterday.

My health is falling apart. I never would have thought I'd have health issues since I live a pretty healthy life. Don't drink, don't smoke, cardio 5 days a week. And yet I have high total cholesterol, my liver's not functioning properly, along with other shit.
Click to expand...
I work in medical labs. Having high liver enzymes is relative. A lot of people walk around with high liver enzymes and there's nothing wrong with them. It usually has to be really high before it is alarming. My ALT is usually high by a few points, nothing wrong with me. There are some people that just genetically work that way. My Bilirubin is also usually a little high. They call it Gilbert's syndrome but there's nothing wrong it's just what they diagnose you with when they don't find anything wrong with you when you have slightly elevated enzymes.

So either you're Dr. is being overly cautious or you have some really high enzymes.
 
Bornstarch said:
Does anyone have this? My bloodwork has shown the last 3 times that I have high ALT, which is indicative of a liver not functioning correctly. I don't drink alcohol or any other beverage. I only drink water. My physician yesterday ordered an MRI of my liver. What's weird how the previous physicians never worried about it, but this guy was. I hate how every time I set up an appointment, it's a roll of the dice to see which physician I get to talk to. I don't know who's right. The previous people who didn't bother to set me up for an MRI or this guy from yesterday.

My health is falling apart. I never would have thought I'd have health issues since I live a pretty healthy life. Don't drink, don't smoke, cardio 5 days a week. And yet I have high total cholesterol, my liver's not functioning properly, along with other shit.
Click to expand...
ALT and AST while commonly referred to as “liver function tests” really have nothing to do with liver function. It may be a marker for liver inflammation, however. Could also be a side effect of statin medication if you’re on one. And no it doesn’t mean you have to stop your statin. The lab results that are involved in liver function are going to be your total protein and albumin levels since those are synthesized by the liver.

NAFLD is fairly common. Estimated that one in four people worldwide have it. It is considered a precursor to cirrhosis but the vast majority do not progress. The ones that do usually drink heavily, have uncontrolled diabetes, or are morbidly obese. Most people with NAFLD need to focus on cardiovascular health as the majority of mortality associated with this condition are from heart disease.

And yes I am a doctor.
 
UberHere said:
ALT and AST while commonly referred to as “liver function tests” really have nothing to do with liver function. It may be a marker for liver inflammation, however. Could also be a side effect of statin medication if you’re on one. And no it doesn’t mean you have to stop your statin. The lab results that are involved in liver function are going to be your total protein and albumin levels since those are synthesized by the liver.

NAFLD is fairly common. Estimated that one in four people worldwide have it. It is considered a precursor to cirrhosis but the vast majority do not progress. The ones that do usually drink heavily, have uncontrolled diabetes, or are morbidly obese. Most people with NAFLD need to focus on cardiovascular health as the majority of mortality associated with this condition are from heart disease.

And yes I am a doctor.
Click to expand...
I think they also just lowered the threshold for what is considered high so alot of people who were borderline their entire lives are now considered high.
 
SirRealKiller said:
I work in medical labs. Having high liver enzymes is relative. A lot of people walk around with high liver enzymes and there's nothing wrong with them. It usually has to be really high before it is alarming. My ALT is usually high by a few points, nothing wrong with me. There are some people that just genetically work that way. My Bilirubin is also usually a little high. They call it Gilbert's syndrome but there's nothing wrong it's just what they diagnose you with when they don't find anything wrong with you when you have slightly elevated enzymes.

So either you're Dr. is being overly cautious or you have some really high enzymes.
Click to expand...

UberHere said:
ALT and AST while commonly referred to as “liver function tests” really have nothing to do with liver function. It may be a marker for liver inflammation, however. Could also be a side effect of statin medication if you’re on one. And no it doesn’t mean you have to stop your statin. The lab results that are involved in liver function are going to be your total protein and albumin levels since those are synthesized by the liver.

NAFLD is fairly common. Estimated that one in four people worldwide have it. It is considered a precursor to cirrhosis but the vast majority do not progress. The ones that do usually drink heavily, have uncontrolled diabetes, or are morbidly obese. Most people with NAFLD need to focus on cardiovascular health as the majority of mortality associated with this condition are from heart disease.

And yes I am a doctor.
Click to expand...


My ALT went from 58 to 53 to 76 in a few months.
 
Just get the MRI to check it out and then you can still talk to whatever doctor you want.
 
I have it. A few tips:
-Lose weight if you're chubby/fat
-Olive oil, grapes and nuts are your friends
-Exercise
-Look at your diet and see what changes you can make. Some of them are easy. Goat cheese and Brie have less fat in them than many other options. You like peanut butter? Start eating almond butter.

Do some research. There are plenty of articles which will help you.

edit: green tea is great for you.
 
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How's your sugar consumption? It's been a while since I reviewed the mechanism but the short of it is that sugar (sucrose) is a disaccharide made out of a glucose and fructose molecule bound together. Glucose can be used by all cells in the body, assuming one actually burns off energy faster than they're taking it in (i.e. not an obese insulin resistant person), but the body has a limited capacity to use fructose. Excess fructose has no choice but to be sent to the liver where it undergoes lipogenesis, meaning it gets converted into fat, and some of the enzymatic steps create oxidative stress and inflammation. The fat then gets loaded up on lipoproteins responsible for carrying fat to other cells in the body ("cholesterol"), but some of the fat remains in the liver. If someone eats too much glucose, it can also get converted into fructose and cause the same problem. Interestingly there was a Finnish study who found that fructose from fruit wasn't an issue, possibly because the fruit had other components such as antioxidants that nullified the effect. Basically excess sugar consumption from non-fruit sources is a pathway to high cholesterol and NAFL, and probably the most common one.

Just not drinking soda isn't enough. People often mindlessly consume added sugar from all kinds of sources and don't rethink it.
 
Don't eat fast food. I had fatty liver issues even when I was boxing and hadn't drank alcohol in over ten years. All because I had a shit diet and ate too much fast food.
 
I think the ratio of ALT and AST is much more important than the actual numbers. I got wasted for 10 days straight once and had numbers in the 300s. I quit for 6 weeks and both dropped into the low 20s.

Hope everything is OK man.
 
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