NAFLD vs ARLD prognosis & ELF Score of 10.2 AST:ALT Ratio of 0.7

[bflare]

Hello all. I am absolutely terrified at the moment. I had a routine LFT carried out for insurance purposes & it came back as abnormal. I contacted my GP who carried out their own LFT. My total bilirubin was found to be 42 umol/L & my ALT 72 iu/L. My GP ordered more tests & I have just had the results back which give me an ELF score of 10.2 & it says ELF Score ELF >= 9.5: possible significant hepatic fibrosis. However, according to the NICE website <10.51, then advanced liver fibrosis is unlikely. I understand that NAFLD can be reversed however up until 3 years ago I was a heavy drinker for around 15 years drinking every evening & all weekend. Definitely more than the recommended daily intake. I was also very overweight for around 10 years. I have since lost over 5 stone & stopped drinking completely over the course of 3 years so this has all come as a shock to me.

According to some research I have found it says the ratio of AST:ALT is a good indication of whether the liver diseases is alcohol-related or not. The ratio is 0.7 which suggests NAFLD.

I think what I am asking is there any difference in the prognosis between NAFLD & ARLD? How would I know which one I have & could my diet still bring the ELF score down?

I am due for a fibroscan which I think is more accurate.

Thank you in advance.

[AyrshireK]

The only difference between alcohol related fatty liver and non alcohol related fatty liver is the alcohol aspect. Therefore dietary change and zero alcohol in both cases should continue to help your liver recover and reduce those scores.

Katie

[bflare in reply to AyrshireK]

Thank you Katie for your reply and that sounds more positive than i first thought. What kind of dietary change is advised? I guess no processed of fried food? I was thinking looking at a mediterian diet.

[AyrshireK in reply to bflare]

BLT earlier this year pubished details of the benefits of a Mediterranean style diet for fatty liver disease. britishlivertrust.org.uk/ea...

Just a healthy, balanced diet with less salt, less sugar, less processed garbage and more exercise.

Katie

[bflare in reply to AyrshireK]

How accurate is the ELF score? Can I be confident I don't have cirrhosis from 10.2 score? I'm due to have a fibroscan at some point. Is this more accurate? Sorry for all the questions. I'm a little bewildered with it all. I stopped drinking 3 years ago and didn't expect these results. I have a 14 year old son who I took full custody of 2 years ago and I'm frightened he's going to lose me. We lost my dad this time last year from lung cancer so my mind is all over the place. Sorry again I know everything hurts through all of this.