Moderate Fatty Liver with normal liver enzymes

[Tr33cy]

I was diagnosed with NAFLD in 2018 while undergoing gallbladder removal surgery. I had been thin most of my life and had only “packed on the pounds” in the last 4-5 years, and wasn’t overweight at the time of the surgery, so she thought it was odd to see my liver so fatty.

My PCP sent me for ultrasounds, MRI’s and bloodwork, and until recently, there wasn’t any mention of an enlarged or fatty liver and my enzymes were always normal.

Then this year the ultrasound came back w an enlarged liver & it said mild fatty liver. Fibrosis bloodwork came back as high and in category F1-F2 w no NASH.

Went to a hepatologist and she did a fibroscan. It came back moderately fatty, but enzymes remain normal (AST 16, ALT 15). I don’t have high cholesterol or diabetes.

In the USA, they downplay NAFLD, so I just want to make sure there’s no reason for concern.

The hepatologist just said lose weight and I’ll be fine (I’m 35 pounds overweight).

I do have Primary Aldosteronism, so my blood pressure can be rather unstable. Could that cause any damage to the liver? Is there even damage to the liver at all if the enzymes are good? I read weight should be lost slowly. Would it be okay to lose 1 pound a week for the next 35 weeks and would that reverse the NAFLD?

[AyrshireK]

Hi Tr33cy, you may find the BLT page on NAFLD useful. britishlivertrust.org.uk/in...

Give me a few minutes and i'll also post up the link for their downloadable leaflet on treating NAFLD with healthy diet and exercise. healthunlocked.com/redirect...

Katie

[Tr33cy in reply to AyrshireK]

thank you Katie!! That was a helpful page!!

[KC108]

What was your fibroscan KPA and fibrosis stage?

[Tr33cy in reply to KC108]

sorry, no idea why I missed this smh. My kPA is 3.4, so normal. My CAP is 266 median. It said 65% fat

[Tr33cy in reply to KC108]

Fibrosis bloodwork came back as category F1-F2 w no NASH.

[Windmill6]

Hi , I too have primary aldosteronism and was told by a radiographer I have a fatty liver. My liver enzymes have always been normal with no sign of jaundice. I am slim with a low bmi.Just of late I've had alot of pain in my right shoulder blade which comes on at random times.Sometimes after food and sometimes in the night waking me. I've had scans but nothing shows and the pain is getting worse. Not sure what to do?