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Old 01-24-2013, 08:10 PM   #1
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rainguyttb HB User
Can I reverse fatty liver?

Hi,

25/male/overweight/non-smoker/non-drinker. A routine blood test in November 2012 showed ALT of 65 and AST of 43. Doctor referred me for an ultrasound which revealed fatty liver. I was told to lose 5-10% of my body weight and it would reverse naturally, but I delayed getting on a diet/exercise regimen due to the illness and eventual passing of my mother. I realize that this was unwise, but I have a bad tendency to turn to food in emotionally difficult times.

Since around Christmas of 2012, I have had a relatively constant feeling of a "stitch" under my lower right rib. I wouldn't describe it as pain, but it is persistent and noticeable. I have no way of knowing if it is muscular or a sign of liver inflammation, but regardless it has caused me to return to reading up on NAFLD in earnest.

I have seen a lot of things that make me concerned for my long-term prognosis, even with diet and exercise. I have read of instances in which the advancement from NAFLD to cirrhosis is rapid, within a few years or less, and instances in which people dieted, exercised, saw their liver enzymes return to normal, and yet the condition advanced to NASH anyway. There seem to be conflicting reports on whether or not diet and exercise are always effective in reversing NAFLD. I thought I would ask here to see if there is anyone who has actually been diagnosed with NAFLD who has actually successfully reversed it, meaning not just lowered liver enzymes but fat being gone on ultrasound/biopsy/etc. In spite of my doctor saying that it is "easily reversible" it seems to be a lot more complicated than that...and now I'm concerned that I may have something potentially irreversible. The thought of being headed toward cirrhosis at my age (well, any age) is extremely unnerving.

Just as some extra background, my only prior blood test showed an ALT of 51 in March 2012, so I have had this in some form for at least months and perhaps years before diagnosis. Is it possible that I am already at the NASH stage if my ALT increased 14 points in less than a year? And if so, is it too late to be reversed at this point?

If any of you have personal experience in combating fatty liver, please help to shed some light on the truth of this entire issue...I would greatly, greatly appreciate it. Thanks so much.

 
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Old 01-25-2013, 08:03 AM   #2
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Join Date: Jan 2013
Location: Perry, Ohio
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LaMaestra2015 HB User
Re: Can I reverse fatty liver?

Hello,

Have you consulted with a liver specialist? I think you should since he should be able to advise you on the progression or status of your liver. I was diagnose with NASH about 10 yrs ago at age 38. I was about 75 lbs overweight at that time. I lost the weight and changed my lifestyle, my liver enzymes have been normal ever since, however, yesterday I had a biopsy because that is the only way to reveal what is really going on in the liver.

My liver specialist told me that it can advance rapidly or slowly depending on the person. I've felt great the last 8 yrs since my weight lost, you are still young so I would recommend that you consult a specialist and a dietitian and they should be able to help you handle your situation.

Also, not all fatty liver becomes NASH.

Good luck to you,
Sonia

 
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Old 01-25-2013, 03:18 PM   #3
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Join Date: Nov 2012
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rainguyttb HB User
Re: Can I reverse fatty liver?

Quote:
Originally Posted by LaMaestra2015 View Post
Hello,

Have you consulted with a liver specialist? I think you should since he should be able to advise you on the progression or status of your liver. I was diagnose with NASH about 10 yrs ago at age 38. I was about 75 lbs overweight at that time. I lost the weight and changed my lifestyle, my liver enzymes have been normal ever since, however, yesterday I had a biopsy because that is the only way to reveal what is really going on in the liver.

My liver specialist told me that it can advance rapidly or slowly depending on the person. I've felt great the last 8 yrs since my weight lost, you are still young so I would recommend that you consult a specialist and a dietitian and they should be able to help you handle your situation.

Also, not all fatty liver becomes NASH.

Good luck to you,
Sonia
Hi,

Thanks so much for your response. I have not yet consulted with a specialist, however this is something that I am now considering as my general practitioner might not have answers to some of my questions. I am now beginning to switch to a regimen of exercise and strict diet, and I hope that I will see results from that.

I was not told that I had NASH, but my fatty liver was confirmed via ultrasound rather than biopsy. If my ALT was higher than normal when I was diagnosed, would that mean that my liver was inflamed and that I have NASH and not just NAFLD? I certainly hope that it was not caught too late, but at least from you it sounds like NASH can be managed.

My best wishes for your health and thanks again for your response.

 
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