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?
Common signs of hypothyroidism are tiredness and weight gain, with a history of hypothyroidism have you ever been advised that you should be able to normalise your weight with this condition? Unfortunately when we have multiple conditions with overlap symptoms, such as fatigue, its difficult to know which of the conditions is causing the symptom. Certainly weight loss should help your health, but its difficult to know how to achieve it. Even with a healthy diet, what are your portion sizes like and do you find you snack?
Thanks Bolly, I replied to this post but I don't see it. Perhaps internet connection broke.
Anyway, no one has told me that loosing weight would be an issue for me, everyone just expects me to do it. I don't really snack between meals and my portion sizes are small. For example, 1 small breast of chicken stir fried in a small amount of olive oil with mediteranean vegetables. I really like potatoes but have cut them out since January. I don't eat, pasta or rice and the only dairy products I eat are butter and low fat cheese in small amounts. I drink about 2 litres of still water per day ( don't like other drinks e.g. Tea, coffee) but have occasional diet coke.
Recently I was in hospital for a cardio/pulmonary issue and the dietician told ne that I wasn't eating enough. It seems I can't win whatever I do