Recently diagnosed with NASH via ultrasound.
My LFT's fluctuate but are normal at the moment. A recent ultrasound found my liver to be massive (correlating to my abdominal swelling) and I have mild bilateral lower limb oedeama with idiopathic lymphoedema in my left leg.
I have many risk factors BMI 37, labile hypertension with LV hypertrophy, controled hypercholesterolaemia, hypothyroidism, prediabetes with insulin resistance to name but a few.
The problem is that I have been told my liver is massive but no follow up. I asked my GP but he just said to loose weight. Similar to one of the other posts, my diet is good (however, was not always good- previous high sugar intake), I have never consumed alcohol, no processed foods, plenty of fresh fruit and veg, chicken and fish occasionally supplimented with chocolate i was a red meat lover but since January have cut this out and reduced my calorie intake to 1500. I attend a physician led cardiac gymnastic class once per week and walk a lot with my dog. Although despite my efforts, the weight is not moving although HbA1c reduced from 6.1 to 5.8, fasting blood glucose reduced from 119 to 108. I have been commenced on Metformin to optimise metabolism by my endocrinologist but other than that no help or further investigation for my liver, which I assume is whats making me very tired.
Interestingly, I am a frequent flyer and noticed that someone suggested a possible link.
What should I do? Push for a referal to a hepatologist, ask for a fibroscan or nothing until the LFT's are abnormal again?