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Old 08-24-2011, 10:26 PM   #1
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Join Date: Mar 2011
Location: New Hampshire
Posts: 5
bob21251 HB User
Fatty Liver Question

Hi all,

I asked this question a few months back, but got a bit more information and just wanted to pose it again if I may.

I'm a 30 year old male. A few months ago, routine blood work gave me an ALT level of 50. I came down with flu and pneumonia and was hospitalized for three days a couple of weeks later. The ALT was 150 in the ER, 50 during my hospitalization, 70 two weeks later, and 43 two weeks after that.

My doctor had me checked for antitrypsin deficiency and I came back as an MZ carrier with a level of between 70-76 mg/dl. An ultrasound came back showing a fatty liver. I asked the doc if it could be NASH and he didn't really answer the question and told me it was reversible if I'd lose some weight.

I know there may be some links between NASH and antitrypsin deficiency, but my question for everyone is is it possible/common/likely that someone with simple fatty liver - not NASH - can experience elevated ALT levels as a result?

Thanks very much!

 
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Old 08-31-2011, 12:15 PM   #2
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Join Date: Dec 2010
Location: Bethel, CT
Posts: 21
kcooke HB Userkcooke HB User
Re: Fatty Liver Question

Simply fatty liver? Fatty liver disease is the fastest growing liver disease in the US and there is no proven therapy, drug, course of care. Fatty liver disease can become NASH - the only difference between the two is NASH is complicated by inflammation. Your doctor telling you that fatty liver disease is reversible is astonishing! There is no - none - no way to resolve fatty infiltrates in the liver - none - no surgical, pharmaceutical, medical way to remove the fat that has accumulated in your liver, period. I am so sick and tired of doctors - who know nothing about this disease or how to "treat" it - misinforming patients! A low fat, non-alcoholic diet will help but not cure fatty liver disease. Please get yourself a really good GI doc who specializes in hepatic care and discuss it further. And to answer your question - yes if you have fatty liver disease you will have elevated AST/ALT levels periodically and/or consistently. Please find a good specialist and learn more about this disease.

 
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