Dr. Anne Larson

Hepatology
Seattle, WA
36 years experience female

Locations

NW Hepatology

Seattle, WA

Address

1560 N 115th Street #207, Seattle, WA
Directions

My office hours

Thursday: 8:00am - 5:00pm
Show more

Fax

2066681342

About

Bio

Dr. Anne Larson received her BS & MD from the University of Washington (UW) and did her residency in Internal Medicine there, moving to San Diego for subspecialty training in Gastroenterology. She then did a further year of subspecialty training in Hepatology/Liver Transplantation at the UW, and then joined the faculty in July 1997. In 2007, she helped UT Southwestern in Dallas start their liver transplant program and in 2011 helped Swedish Health Systems in Seattle start their liver transplant program. She has returned to the UW as faculty and continues to care for patients with all types of liver disease.

Specialties
Doctors may have more than one area of specialty interest. Board certification in a specialty area means the doctor has completed formal training and has practice experience in that specialty, and has passed the certification examination from the corresponding accredited medical specialty board.

Hepatology

Doctor Q&A

143 Answers
202 Agrees
The number of answers this doctor has agreed with.
A 32-year-old male asked:
Dr. Anne Larson
Hepatology 36 years experience
Maybe: You should discuss this with your doctor. Do you have underlying liver disease and would be at risk of a problem in the liver? Liver cysts are usuall... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 36-year-old member asked:
Dr. Anne Larson
Hepatology 36 years experience
Don't Drink!: The best thing is to avoid toxins, such as alcohol. Your doctor should also monitor your liver studies to make sure you're doing OK. Most people tol... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 42-year-old member asked:
Dr. Anne Larson
Hepatology 36 years experience
Gene Mutation: This is a mutation in one of the genes that help to process iron absorption. The mutation, if present in 2 copies, can cause too much iron to be abso... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 49-year-old member asked:
Dr. Anne Larson
Hepatology 36 years experience
Yes: ursodiol is the same thing as ursodeoxycholic acid.
Created for people with ongoing healthcare needs but benefits everyone.
A 40-year-old member asked:
Dr. Anne Larson
Hepatology 36 years experience
Failure of Treatment: If you discontinue your hepatitis C treatment half way, you are more likely to fail treatment - meaning you won't cure the virus. You should discuss ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 43-year-old member asked:
Dr. Anne Larson
Hepatology 36 years experience
It depends: It depends on the cause of the liver failure. If it is from alcohol, stopping the alcohol can sometimes allow the liver to improve. If the liver fai... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 33-year-old member asked:
Dr. Anne Larson
Hepatology 36 years experience
Liver Disease: The cells of the liver are called the parenchymal cells and make up the bulk of the liver. Therefore, this means that you have disease of the liver c... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 36-year-old member asked:
Dr. Anne Larson
Hepatology 36 years experience
Blood Tests: Most of the liver diseases can be diagnosed by blood testing. Ultrasound or ct can also tell how the liver looks. More rarely, tests such as ERCP ar... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 36-year-old member asked:
Dr. Anne Larson
Hepatology 36 years experience
It depends ...: It depends on the cause. An enlarged liver can be secondary to fat in the liver (most common) or from infilatrative disease (such as cancer). An en... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A member asked:
Dr. Anne Larson
Hepatology 36 years experience
No ...: There is no cure for hepatitis b. However, there are very good antiviral medications which can keep the virus in check. You should see a hepatologis... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 32-year-old member asked:
Dr. Anne Larson
Hepatology 36 years experience
Numerous: It would depend on the symptoms. Antiviral medicine may be used to treat infection (hepatitis b or c). If cirrhosis and liver failure are present, t... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 37-year-old member asked:
Dr. Anne Larson
Hepatology 36 years experience
Liver Enzymes: These are enzymes which are found in the liver cells. Sgpt is an old term - it's now alt (alanine aminotransferase). Ggt stands for gamma glutamyltr... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 31-year-old member asked:
Dr. Anne Larson
Hepatology 36 years experience
Treat the cause: In order to have liver enzymes improve, you need to treat the cause of the elevation. You should discuss this with your doctor and find out why the l... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 49-year-old member asked:
Dr. Anne Larson
Hepatology 36 years experience
Several Things: The list is fairly long. An enlarged spleen (splenomegaly) can be caused by many things. Patients with cirrhosis can develop splenomegaly. Certain ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 43-year-old member asked:
Dr. Anne Larson
Hepatology 36 years experience
Yes: The presence of braces should not affect this.
Created for people with ongoing healthcare needs but benefits everyone.
A 37-year-old member asked:
Dr. Anne Larson
Hepatology 36 years experience
Probable cirrhosis: This means that the liver appears to have cirrhosis based on characteristics seen on imaging. Usually it is smaller, has a nodular border and may hav... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 26-year-old female asked:
Dr. Anne Larson
Hepatology 36 years experience
Frther evaluation: You should have further testing done. The most common cause of elevated liver enzymes in the us is fatty liver disease. There are many other genetic... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 32-year-old member asked:
Dr. Anne Larson
Hepatology 36 years experience
Generally Not: The cold viruses do not generally involve the liver. Other viruses (such as mono) can cause a mild hepatitis (inflammation).
Created for people with ongoing healthcare needs but benefits everyone.
A 32-year-old member asked:
Dr. Anne Larson
Hepatology 36 years experience
Could be many things: It depends on how they described it. The most common is a benign liver cyst. The next most common are benign lesions such as hemangiomas. If the li... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 43-year-old member asked:
Dr. Anne Larson
Hepatology 36 years experience
Not enough info: It depends by what you mean as the "last stage" of hepatitis b. If you had acute hbv, by the last stage (clearance of the virus) you should begin to... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 30-year-old female asked:
Dr. Anne Larson
Hepatology 36 years experience
No Problem: There is no problem with your liver. The "normal" ranges were determined by checking thousands of people and picking the range that most of them fell ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 24-year-old male asked:
Dr. Anne Larson
Hepatology 36 years experience
Yes: Most countries do not limit travel to carriers of hepatitis b virus infection. You are not casually contagious. The virus is spread via blood and se... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 31-year-old member asked:
Dr. Anne Larson
Hepatology 36 years experience
Many Things .....: Can be harmful to the liver. Alcohol is one the most common. Hepatitis viruses (b, c) can damage the liver. Many medications and herbal products ha... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 36-year-old male asked:
Dr. Anne Larson
Hepatology 36 years experience
Hep B Infection: The surface antigen can be positive in either acute (new) or chronic hep b infection. Chronic hbv exists in several different forms. Your doctor can ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 31-year-old member asked:
Dr. Anne Larson
Hepatology 36 years experience
Many things ...: There are many causes of liver inflammation - hepatitis viruses, fatty liver, alcohol, genetic diseases, autoimmune diseases - to name some of them. ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 47-year-old member asked:
Dr. Anne Larson
Hepatology 36 years experience
It depends: Most people have no symptoms early in the setting of liver failure other than changes in the blood tests (low albumin, high inr). Fatigue is common. ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 31-year-old female asked:
Dr. Anne Larson
Hepatology 36 years experience
Broken Cells: Hemolyzed means that the red blood cells have broken apart. This may happen when blood is being drawn - if it is drawn too quickly into the tube, the... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 46-year-old male asked:
Dr. Anne Larson
Hepatology 36 years experience
Fatty Liver: Fatty liver can look like this under ultrasound. "no gross abnormalitiy" means that there are no tumors or other unusual findings in the liver. The ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 42-year-old member asked:
Dr. Anne Larson
Hepatology 36 years experience
Neither: You do not need to fast for the liver function tests. For the tsh, fasting is not generally needed, although there may be some variation in this te... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 32-year-old female asked:
Dr. Anne Larson
Hepatology 36 years experience
Really Variable: In general, with chronic hepatitis c the levels can fluctuate between normal and usually not >300-400. Acute HAV and hbv can have levels in the 1, 0... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 48-year-old member asked:
Dr. Anne Larson
Hepatology 36 years experience
Many: There are many causes of liver injury, including alcohol, fatty liver disease, hepatitis viruses b and c, autoimmune liver disease (pbc, psc, autoimmu... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 41-year-old member asked:
Dr. Anne Larson
Hepatology 36 years experience
Awhile: It can take up to 6 months for a person to feel normal again. The liver enzymes may improve, but patients can experience fatigue for quite some time.... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 24-year-old male asked:
Dr. Anne Larson
Hepatology 36 years experience
it depends: The dose depends on the formulation. You will need to rely on the manufacturer's instructions to determine this. Many companies make silybinin/milk ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 43-year-old female asked:
Dr. Anne Larson
Hepatology 36 years experience
May be nothing ...: This may just be a benign area in the liver. There are several things which can develop - cysts, benign tumors (adenoma, focal nodular hyperplasia). ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 30-year-old member asked:
Dr. Anne Larson
Hepatology 36 years experience
Usually Once: The hbv vaccine is a series of 3-4 shots over a 6 months time period. At least 90% of people will develop immunity following that series. A portion ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 37-year-old male asked:
Dr. Anne Larson
Hepatology 36 years experience
Often None: I'm glad you have stopped drinking. Your liver may experience some recovery. Kidney failure often has no symptoms, but can be detected early by bloo... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 57-year-old male asked:
Dr. Anne Larson
Hepatology 36 years experience
Exercise & good diet: There are no specific foods to get rid of fatty liver. However, the fat responds to a healthy well balanced diet with exercise. If you are overweight... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 48-year-old member asked:
Dr. Anne Larson
Hepatology 36 years experience
Aspirin & virus infx: Reyes generally occurs in children between 4 and 14 years old. It has been linked to the use of Aspirin or aspirin-containing medicines used during a... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A member asked:
Dr. Anne Larson
Hepatology 36 years experience
Talk with your MD: There are many causes of liver lesions, both benign and malignant. It is likely the repeat scan that you are having done is to determine what type of... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 24-year-old female asked:
Dr. Anne Larson
Hepatology 36 years experience
4-6 months: Interferon is generally given for 4-6 months. In some settings, longer therapy may be needed. Generally about a third of patients will respond to t... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 17-year-old male asked:
Dr. Anne Larson
Hepatology 36 years experience
Recommend Against: Many homeopathic medications can be harmful to the liver. They are just more chemicals that the liver has to process (yes, homeopathic medications ar... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A member asked:
Dr. Anne Larson
Hepatology 36 years experience
Do not panic: I don't know what liver count you are talking about. I suspect you do not have cancer since your symptoms have been going on for 3 years. Talk with ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 38-year-old male asked:
Dr. Anne Larson
Hepatology 36 years experience
Need more info ...: There are many reasons for elevated liver enzymes. You don't say why your tests have been elevated. Has your doctor looked for causes? If not, you ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 39-year-old member asked:
Dr. Anne Larson
Hepatology 36 years experience
Yes: The liver can recover with abstinence, particularly if cirrhosis is not present. However, if cirrhosis is present, there may still be mild elevations... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 45-year-old member asked:
Dr. Anne Larson
Hepatology 36 years experience
Other way around: There can be "accessory" spleens. This just means that when a person was developing, an extra spleen developed. They are not dangerous and don't cau... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 40-year-old member asked:
Dr. Anne Larson
Hepatology 36 years experience
Not directly: However, a lacerated liver will bleed significantly and patients generally become anemic. Some breathalyzer machines assume that people have a normal... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 45-year-old member asked:
Dr. Anne Larson
Hepatology 36 years experience
It's variable.: Depends on how long you have had it. Usually without symptoms early in the disesae. May be associated with itching, hypythyroidism, fatigue, osteoporo... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 46-year-old member asked:
Dr. Anne Larson
Hepatology 36 years experience
It depends: "Fatty liver" has many forms. If there is just fat (steatosis), this is easily reversible. However, if inflammation (hepatitis) has set in, it may b... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 32-year-old member asked:
Dr. Anne Larson
Hepatology 36 years experience
It can be: If liver disease has progressed to cirrhosis and the platelets are low because of this, then patients can bruise more easily. However, liver disease i... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 49-year-old member asked:
Dr. Anne Larson
Hepatology 36 years experience
Yes: Increases in ast, alt, and alkaline phosphatase have been reported. The elevations are usually small and reverse when Prednisone is discontinued. Lon... Read More
Created for people with ongoing healthcare needs but benefits everyone.

Testimonials
Recommendations and Thank you notes are endorsements given from patients or other doctors.

3
Recommendations
256
Thank you notes
Apr 8, 2013
Dr. Larson is a bright and caring physician.
HealthTap member
Mar 30, 2015
Dr. Larson is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Mar 31, 2015
Dr. Larson is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
This made me feel good. Thanks! I have seen my family doctor. He say this is usually due to my fatty liver and a change of size. Due to my 2nd ultrasound it size of the nodule is the same. Doc recomme...Read More
HealthTap member
Thanks. I have PSC of liver and getting towards the end of the line. It’s difficult finding info about what dying with this disease will be like. Thanks again for your help. Mark
HealthTap member
What i mean doc is, am i allowed to work abroad if ever im a carrier of heba b? Im a nurse and would like to work abroad thanks

Education & Training

Medical/Graduate school

University of Washington School of Medicine, Seattle
Graduated 1991MD

Medical/Graduate school

University of Washington
Graduated 1987MD

Residency

UNIVERSITY OF WASHINGTON MEDICAL CTR

Awards

Alpha Omega Alpha Honor Society
Best Doctors in America, 2005 - 2013
Top Hepatologist , First Place, National - Winter
2013

Affiliations

National Board of Medical Examiners
American Board of Internal Medicine
American College of Physicians
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