Is it always NASH

If I have fatty liver and most of the time have elevated liver enzymes does that automatically mean it is Nash? From what I’ve been reading it appears if you have fat with inflammation markers then it’s always Nash? Is this true or can you have fatty liver with ALt in 60s and just simple fatty liver?

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Hi Helli,

Have you had fibrosis testing?

If you are in the UK, NICE (The National Institute for Health and Care Excellence) have devised guidelines with the British Society of Gastroenterology (BSG) that state people diagnosed with NAFLD should have further testing to assess for their risk of fibrosis- stiffening or scarring in the liver.

The specific blood tests are Fib-4 score blood test or an Enhanced Liver Fibrosis (ELF) blood test. A specific scan called a FibroScan also estimates fibrosis.

You may want to discuss this with your own GP who will be able to look up the NICE guidance.