Went to see the doc on Friday and finally seeing my lifestyle changes paying off, have now lost 4 1/2 stone (2 still to go but getting there), blood sugars better than they have ever been and even exercising and to be honest in a lot of ways have not felt so good for a long time. My last bloods were all within the normal range apart from Alt which was 60, normal range is from 20 - 50, sorry cant remember the low end limit is right, this time last year it was nearly 200. I know these are really a measure of the inflammation rather the the damage, but as I understand it this means that at the moment very little damage will be being done. He also said that there was no need for an appointment for checking the 2 varices I have until next year rather than the expected this year and he would be very surprised if they were still present (they were early stage varices). He doesnt want to see me for 6 months and said that if the results are the same or better he would be downgrading me from NASH to NAFLD. Ok I know it doesn't take away the damage that has occurred but it means that my liver now has a chance to repair where before with active inflammation this was never going to happen.
I have volunteered for the multiscan trial so am looking forward to seeing if my fibroscan score has dropped. The other thing I was wondering was whether they would be able to distinguish between Gall bladder polyps and Gall stones on the MRI as they have struggling with this using ultrasound and the diagnosis keeps swapping between the two which isnt so bad but if they are polyps some of them are quite large and this would mean gall bladder removal, so lets live in hope that they stay as gallstones as they are not giving me any problems at the moment.