Doctor insights on:
NAFLD: Hi. The two most natural and effective ways to treat NAFLD are low fat/low sugar diet, and weight loss. Are you obese? Are you diabetic? Treating diabetes with certain agents helps as well. If by "natural", you mean some herbal nonsense, sorry, no, you're on the wrong site. Good luck! ...Read more
Doc can't, you can!: Non-alcoholic fatty liver disease is now the #1 cause of liver disease in america today and obesity is the main cause of it. When a person gets extra fat, it is deposited everywhere in body including liver, hence the name fatty liver. Wt loss is the only effective treatment for it! Thus, your doc can't lose wt for you--only you can do that. So if obesity is your cause, you can treat it. Good luck. ...Read more
It can: In rare cases, is can progress. I'm not sure what you mean by "fibroscan" but I would advise to you to proceed with whatever testing has been recommended. ...Read more
Varied: NAFLD is not one disease, is a spectrum of diseases from benign fatty liver to severe liver dysfunction. Early on could be reversible by appropriate dietary, activity and body habitus adjustment. Left untreated, at least some of NAFLD could become serious by causing cirrhosis and liver failure. Fatty liver is not considered just a benign disease anymore. ...Read more
Yes...: Fatty liver disease is the most common cause of elevated lfts. Some patients with fatty liver experience progression of liver disease to cirrhosis. Knowing alcohol is a hepatotoxin (poison), consumption can accelerate existing liver disease in dose dependent fashion. Having one or two drinks per month is probably safe and not enough negatively impact your liver. ...Read more
Iam diagonised with nafld. My weight is normal. Hb, hc and HIV negative. Can I take alcohol once in a month. What is the diet?
Key is fitness: I trust that wilson's disease has also been ruled out. Your personal physician probably did not give you a strict diet because this isn't the key, nor is total abstinence from alcohol versus an occasional beer. You may or may not be given medication, but I would urge you to get back into an exuberant, physical-fitness focused lifestyle. This may win back your health. ...Read more
Lysine is an essential amino acid, a pure protein that has many health benefits. See http://www.md-health.com/L-Lysine-Benefits.html
Very high doses may increase risk of gallstones but 3000 mg/day is unlikely to do this. There is no evidence Lysine causes NAFLD, in fact it likely is beneficial as it can lower blood sugar. The main cause of NAFLD is excess carbs. See http://tinyurl.com/jmyzvnr ...Read more
Eat Healthy: 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, weight loss is key to help the liver decrease fat accumulations. If you have diabetes or elevated cholesterol, it is important to control them as well. ...Read more
Need more info but..:
Not everyone with high cholesterol needs statins; it depends on how high and esp. on the subtypes of cholesterol. Statins can be toxic to the liver. See http://tinyurl.com/9x3n594 and http://tinyurl.com/2f9kg7d There are other ways to lower cholesterol:
For good info on treating NAFLD see http://tinyurl.com/lf77ull ...Read more
My son was diagnosed with nafld at the age of 17. He is soon to be 21 and wants to know if alcohol can be consumed. Liver diseases?
NAFL: Alcohol is to be avoided with nafl. Diet & exercise, weight loss (if appropriate) are recommended. Use of vitamin E somewhat controversial but may be considered. Nafl has good prognosis in period up to 10 years. Alcohol can modify that. Patient should be under doctor's care for monitoring purposes. ...Read more
Mild diffuse fatty infiltration liver enzymes will raise and lower and raise again is this normal or does it mean it's getting worse? Is this nafld
US showed Homogeneous liver at 16.5 cm. My ALT is 70 with all other values normal. Over last couple years my ALT value follows Cholesterol. If one is high so is the other. Does that mean I have NAFLD?
I don't think so: The most reassuring thing in your question is that your liver was homogeneous on ultrasound. An ultrasound will often show a typical fatty liver. I believe the elevation of both ALT & cholesterol could be linked eating a higher fat and/or carbohydrate (including alcohol) diet as well as increased weight, if applicable. Optimize diet and weight and hopefully labs will normalize. Good wishes:) ...Read more
Not evidence based: Most people with non-alcoholic fatty liver disease benefit most from changing to a fitness-focused lifestyle. Please forgive my frankness. Betaine in beet may help, but I hope you did not pay too much money to be told to take beet and lemon juice to be "detoxified" from imaginary poisons. I also suspect that you are writing healthtap because you believe this is silly. You are right to think this. ...Read more
Alt elevated (76, 63) after 2 blood tests and increased parenchymal echogenicity on us. Nafld or nash?
Continue workup: Now would be a great time to get really into aerobic fitness -- this is likely to reverse NASH / nafld. You'll get checked for hepatitis c, wilson's, hemochromatosis, autoimmune hepatitis and a few others. Trust you're not taking meds or that they have been ruled out as causing the problems. ...Read more
Realsil which has silybin phytosome complex with phosphatidyline coformulated with vitamin e. Study in italy for nafld. Can I try that?
Probably safe: Though safe, it is wise to find and correct the cause of non-alcoholic fatty live disease. Avoid all processed foods, alcohol, and tobacco products, eat lots of fresh vegetables, especially beets, carrots, squash, pumpkin (colors have anti-oxidants) and colorful non sugary fruits. Eat 6 small equal meals, get a good night sleep, move through the day and destress. Avoid medications if you can. ...Read more
What is the management of NASH and nafld in 24 y BMI of 19.5 healthy male no alcohol or meds or anything synthetic, even home made food?
No standard: The key will of course be increasing your level of aerobic fitness. I trust the diagnosis is right & that other causes of fatty liver / elevated enzymes (especially hepatitis c) have been ruled out. I hope you will not let somebody's idea that "synthetic is bad" limit your willingness to take medication. Betaine in beet juice, and of course vitamin e, are things to talk about with the team. ...Read more
Us neg. For cirr +nafld serum tests(apri/forns etc) just out of "f0-1", or indet w/out biopsy — how eval dmg? Alch (abst. 6yr)/rslv HCV 12yrs/
Biopsy: If you have nafld and are concerned about cirrhosis, the gold standard would be liver biopsy if non-invasive studies are inconclusive. Some academic centers have fibroscan availability, which may be a non-invasive alternative. ...Read more
Paracetamol: Your father should not take any paracetamol until he has contacted his doctor! ...Read more
Is there any way to get gastric sleeve covered by insurance? I have multiple issues including osteoarthritis, nafld, pre-diabetic (undx).
WLS Coverage: Insurance will generally cover bariatric surgery as long as you play by their rules before the operation — your weight loss surgeon will explain what I mean by that in your initial consultation. Diabetes and seep apnea are your golden tickets to get the surgery approved, but your history of OA certainly might help. ...Read more
I have been diagnosed with nafld. My liver span is 14.2 cms. I am hb negative and HCV negative. Can I take potato chips and alcohol one in a month?
Liver disease I was diagnosis with nafld in 05. Now I have pain in liver area along with purpura and petechia. Is it possible to be going into nash?
Go see doctor : It is possible. You should go see your doctor. If you have not been seen by liver specialist, you should see them. Make sure you don't have uncontrolled bleeding or change in mental status, etc. ...Read more
Have mild NAFLD, where only GGT is elevated (didn't drink, but it was still around 120). Will liver affect drug efficacy--how well I respond to drugs?
No: I'm actually wondering how the call was made if only GGT is up -- there's actually a genetic variant in which it tends to run quite high and these folks get accused of being drunks. Your liver should metabolize medications fine; if it's critical, an internist knows how to evaluate you. Your liver might also be asking for more physical exercise. Best wishes. ...Read more