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Doctor insights on: Obese Liver

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Dr. Adam Lewis
2 Doctors shared insights

Liver (Definition)

This organ plays a major role in metabolism and has a number of functions in the body, including glycogen storage, decomposition of red blood cells, plasma protein synthesis, hormone production, and detoxification. It lies below the diaphragm in the abdominal-pelvic region of the abdomen. It produces bile, an alkaline compound which aids in digestion via the emulsification of ...Read more


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I am 38f obese. Wt285. Fatty liver with borderline heptomegly. I am losing 4 lbs a wk. I am dieting and walking how do I slow it down?

I am 38f obese. Wt285. Fatty liver with borderline heptomegly. I am losing 4 lbs a wk. I am dieting and walking how do I slow it down?

You are right: Ideally when losing weight with fatty liver disease you want to avoid excessively fast weight loss - there is evidence to keep weight loss at a rate less than 3.5lbs/week; as too rapid weight loss can make things worse. This means you may need to back off a bit on your caloric restriction and/ or be mindful of the vigorousness of your exercise. Though it sounds like you are making great strides. ...Read more

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Can obesity cause elevated liver enzymes on a blood test?

Can obesity cause elevated liver enzymes on a blood test?

Not by itself: Many obese people do get non-alcoholic steatohepatitis, which is quite serious. This raises liver enzymes. However, you also need to rule out hepatitis C and Wilson's, and allergy to any meds you may be taking. I trust you do not drink. Your liver may simply be asking you for more exercise. Best wishes. ...Read more

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I am 38 f obese with fatty liver. I have lost 42 lbs since march. My hair is falling out. Could this be a sign of cirrhosis?

Probably not: Cirrhosis is not usually associated with hair loss.Any time there is a rapid reduction in weight or any kind of illness then we can see hair loss increase for several months. This type of hair loss comes back so not to worry. Good luck on your weight loss. ...Read more

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Morbidly obese. Getting work up for vsg surgery and liver is enlarged but blood work ok. Can obesity cause enlarged liver?

Enlarged liver: Yes. Actually, nearly all obese patients have fatty liver or an enlarged liver. So that finding is expected. It will shrink down in size once you have surgery and lose weight though. ...Read more

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What effects does obesity have on the liver?

What effects does obesity have on the liver?

Steatohepatitis.: Obesity can be associated with a fatty liver, which could be just an incidental finding but could also lead to cirrhosis and actual liver damage in the future. Losing weight tends to reduce the chance of this bad outcome. ...Read more

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My liver is borderline enlarged because of fatty liver from obesity how long will it be enlarged and is this dangerous?

Before or after wt: You have written in before. Is this before you lost 52 pounds (and counting) or after? How much more do you have to lose? How big was liver before? What were chemistries like before, and what are they like now? Other health issues, like diabetes? Alcohol intake? All factors. Improvement is improvement. Borderline enlarged is better than frankly enlarged. Keep it up, get to your goal weight. ...Read more

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My liver is border line enlarged from fatty liver from obesity. Is this something that can be seen physically or am I imagining this?

No: Fatty liver mirrors the obesity epidemic in the us. You may not have any physical signs of fatty liver and your liver function tests may also be normal. ...Read more

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Does childhood obesity usually distort the liver tests?

Does childhood obesity usually distort the liver tests?

It might: Obesity is a disease in itself and can effect many organs in the body. As I have said in many answers sugar in all its forms is the main culprit, even diet drinks because they produce what is known as oxidative stress.Particularly in the lower brain that computes are ability to adapt to changes in the environment. Poor nutrition is the clue. ...Read more

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Wanted to know if all people who are obese/overweight have fatty liver?

70%: Data by several investigators show that 70 per cent of obese have NAFattyliver disease. ...Read more

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I have been dieting since march cuz I found out I have fatty liver from obesity. I lose 12-15 lbs a month. Could this be from something more serious?

I have been dieting since march cuz I found out I have fatty liver from obesity. I lose 12-15 lbs a month. Could this be from something more serious?

Obesity or Alcohol: Fatty liver has two causes, alcohol excess and obesity. If you don't drink very much alcohol then obesity is likely the culprit. Your weight loss is excellent, keep it up by using diet and exercise. Fatty liver can be reversed with weight loss. If it persists there is a risk of cirrhosis so you are doing exactly the right thing. Well done! ...Read more

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I have fatty liver from obesity. I have been dieting and exercising. I don't want to damage my liver more but would it hurt to eat non diet food once in a while?

I have fatty liver from obesity. I have been dieting and exercising. I don't want to damage my liver more but would it hurt to eat non diet food once in a while?

Have you lost weight: The best thing you can do for yourself is to change your lifestyle.....Not just go on a "diet". I don't know what you mean by "diet foods", but I think you are craving the "non-diet" foods because you have not found food that you like which are also healthy. Once you find these....You will rarely crave "non-diet" foods. See my website for more info: www. Jhsurgery. Com. ...Read more

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I was diagnosed with fatty liver from obesity with borderline enlargement. I am losing about two lbs a week for total of 50 since march. I am worried about cirrhosis?

I was diagnosed with fatty liver from obesity with borderline enlargement. I am losing about two lbs a week for total of 50 since march. I am worried about cirrhosis?

Weight loss: An extensive fatty liver can lead to NASH (nonalcoholic steatohepatitis) which could lead to cirrhosis. Cirrhosis is essentially scarring of the liver. Chronic inflammation from fatty infiltration can lead to cirrhosis as it is an inflammatory condition. Losing weight however can reverse this process and restore the liver to its normal state. Continue with the weight loss and this should improve. ...Read more

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Could fatty liver from obesity cause hs-crp of 4.8?

Possible: Obesity is a pro-inflammatory state and may result in elevation of hscrp. ...Read more

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How to get a fatty liver when your not obese or have elevated liver enzymes?

How to get a fatty liver when your not obese or have elevated liver enzymes?

Hereditary: The New England Journal just published a big article on the genetic basis of non-alcoholic fatty liver. I'm going to assume you're not a drinker. While we're learning about this, you might be doing yourself a huge favor by getting back into a fitness-focused lifestyle. ...Read more

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How do I slow down weight loss? I am 38 f obese. I have fatty liver. Losing 3-4lb a wk

How do I slow down weight loss? I am 38 f obese. I have fatty liver. Losing 3-4lb a wk

WITH THIS INFO AS: Background, you need to see a doctor. You may be diabetic, and that needs treated asap. ...Read more

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I have been dieting due to fatty liver from obesity. I have lost 47lbs since march. Is it safe for me to have some mashed potatoes and gravy?

Of course: Some fatty meals are OK. The low saturated fat/total fat that some hepatologists recommend in the setting of fatty liver disease, is an overall goal but "cheat" meals are fine. ...Read more

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How do I slow weight loss down? I am losing 12-15 lbs a mth cuz of fatty liver from obesity. I am worried I am losing too much wt. I am eating good

How do I slow weight loss down? I am losing 12-15 lbs a mth cuz of fatty liver from obesity. I am worried I am losing too much wt. I am eating good

See a specialist now: Losing weight too quickly can be a sign of a serious problem. Perhaps it is the fatty liver, but there may be other serious things going on. Please don't wait to talk to your primary care provider and get advice. If that person isn't able to determine the reason for the unintentional weight loss, please see a liver specialist to confirm that this is due to fatty liver. This should not wait. ...Read more

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How likely is fatty liver from obesity to turn into cirrhosis. I am dieting and losing weight 47lbs since march?

Likely: The progression from fatty liver to steatohepatitis to cirrhosis can be be reversed with weight loss. Depending on how overweight you are bariatric surgery may be able to offer a higher success rate than diet and exercise. ...Read more

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38 f. Fatty liver from obesity. Lost 38lbs so far. How likely is it that I will get cirrhosis. Enzymes are good. Iron is a little low?

38 f. Fatty liver from obesity. Lost 38lbs so far. How likely is it that I will get cirrhosis. Enzymes are good. Iron is a little low?

Not very likely...: Not very likely, and it sounds like you're doing fine. As per prior healthtap answers, fatty liver is most commonly associated in america with obesity, diabetes, high cholesterol, and excess alcohol consumption. Avoid, treat, reverse any of these risks and fatty liver typically improves. Keep up the good work as you approach your goal weight, avoid alcohol, and eat healthy. ...Read more

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How do u know when fatty liver from obesity is getting better I have already lost 46lbs and still have the ache blood work is all good?

How do u know when fatty liver from obesity is getting better I have already lost 46lbs and still have the ache blood work is all good?

A very good progress: I recently answered your question when you lost 42 lbs, now at 46--great job. Blood work result=normal=very good sign that your liver is healing. The fatty deposition in your liver will take time to resolve and an ultrasound can certainly show the changes. Achiness you have is not likely from fatty liver--eventhough it is on that area. Check with doc to see what else is causing it. Good luck. ...Read more

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I am worried I am losing too much weight for my fatty liver from obesity. I am losing 3lbs a week. I am only eating healthy and walking 1 mile a day. Should I slow down?

I am worried I am losing too much weight for my fatty liver from obesity. I am losing 3lbs a week. I am only eating healthy and walking 1 mile a day. Should I slow down?

Weight loss: No you are not losing it too fast! 2-3 ibs a week is recommended rate of weight loss! However after losing 10-12 ibs, stabilize yourself to maintaing that weight for next two mnths at least. Weight loss is not too hard! Maintaing that less weight and continuing with new lifestyle is bigger challenge! ...Read more

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Can vitamin E help cure a non alcoholic fatty liver from obesity?

Not a cure: But studies suggest that vitamin E 800IU/day can improve biopsy evidence of steatohepatitis in nondiabetic patients. Even the american college of gastroenterology recommends it as a first line treatment in nondiabetics with biopsy proven fatty liver disease. Good luck. ...Read more

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My hair has been falling out for 3 months. I found out I have fatty liver from obesity so I have lost 50 lbs. My thyroid is fine. When will this stop?

My hair has been falling out for 3 months. I found out I have fatty liver from obesity so I have lost 50 lbs. My thyroid is fine. When will this stop?

Telogen Effluvium: Telogen effluvium is a form of nonscarring alopecia characterized by diffuse hair shedding, often with an acute onset. A chronic form with a more insidious onset and a longer duration also exists. Telogen effluvium is a reactive process caused by a metabolic or hormonal stress or by medications. Generally, recovery is spontaneous and occurs within 6 months. ...Read more

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I have fatty liver from obesity ALT is 9 AST is 10 total bilirubin is 1.3 and direct is 0.2 is that high for bilirubin?

Gilbert's syndrome: You most likely have gilbert's syndrome. This is not a serious condition that occurs because of impaired conjugation of bilirubin. The total bilirubin is elevated because the indirect bilirubin or unconjugated bilirubin is high. Your liver function is otherwise normal, but if you have fatty liver, avoid alcohol and other hepatotoxic agents. Optimize your weight and follow-up with gi. ...Read more

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I have fatty liver from obesity but have lost 50 lbs since march and 7 in on my waist under my right rib on back it is sore when pushed on? Fatty live

I have fatty liver from obesity but have lost 50 lbs since march and 7 in on my waist under my right rib on back it is sore when pushed on? Fatty live

You're doing great!: Angie, I have followed with interest your progress. Congratulations on your ongoing weight loss. I look forward to hearing that this has resulted in a drop in liver tests. Stick with the diet, avoid alcohol, control diabetes & cholesterol (if present). Discomfort as described may not be due to fatty liver, & deserves a physical exam & maybe x-rays from your doctor that we can't provide you here. ...Read more

Dr. Quang Nguyen
4,581 Doctors shared insights

Obesity (Definition)

Having too much body fat. It is different from being overweight, which means weighing too much. The weight may come from muscle, bone, fat, and/or body water. Both terms mean that a person's weight is greater than what's considered healthy for ...Read more