Elevated ALT a problem?

[DamagingGiraffe]

Hello,

I'm 33 year old female, who was diagnosed with fatty liver after pregnancy. I can't find any more info about my fatty liver, it just says fatty infiltration. My BMI is within range. I drink maybe once a month as I'm too worried about my liver, I just don't enjoy drinking.

I have been told fatty liver is common and raised liver enzymes isn't really a problem. I just want to double check as I kind of feel fobbed off.

As you can see i've had a lot of blood tests hoping to see a change, but maybe I just need to forget about it?

I'm having another blood test at the end of the month, hoping ALT may have gone down.

FIB-4 0.49

OCT 22 - ALT 101 u/L

JUL 22 - ALT 101 u/L

JUN22 - ALT 92 u/L

SEP21 - ALT 81 u/L

AUG 21 - ALT 96 u/L

JUL 21 - ALT 163 u/L

JUL 21 - ALT 145 u/L

OCT 22 - AST 35 u/L

Here are some other tests that may be relevant:

Serum C reactive protein level - 19 mg/L

Serum triglycerides - 2.4 mmol/L

Pre-diabetic

Kidney ALM

Viral hepatitis panel A&E B C - negative

Autoimmune profile - negative

Thanks

[aranshaw]

I would pursue this best you can, I’m a 33 year old male with liver enzymes like yours, was told fatty liver, went for an ultrasound and told fatty liver again, my fib 4 was low so no need for fibroscan, I pointed out fib4 was meant for people 35 and above, got my fibroscan and bam, 30kp, cirrhosis, this was then confirmed with a biopsy.

[DamagingGiraffe in reply to aranshaw]

Thanks, what is 30kp? Did you have any symptoms or any explanation why it delevoped? Have you been able to reverse it?

[aranshaw in reply to DamagingGiraffe]

sorry I meant 30kpa, it’s the measure a fibroscan machine uses to asses liver damage, in essence above 14.5kpa means cirrhosis, this was then confirmed with a biopsy. Cirrhosis usually can’t be reversed, I was only diagnosed 2 days back so little opportunity to do much about it yet, I focus now on being healthier as my bmi is 35, chances are for you however you don’t have cirrhosis. Don’t know why it developed really to this state as most people with my bmi wouldn’t have it anywhere near this bad, no real symptoms.

[DamagingGiraffe in reply to aranshaw]

Thanks, Good luck with your healthier lifestyle

[MINTVCX in reply to aranshaw]

Indeed FIB-4 below 35 years is not so good, other tests should be applied. Good point. Have you been tested for other diseases that can damage your liver if I can ask?

[AyrshireK]

The BLT has a good page regarding Non Alcohol Related Fatty Liver Disease (NAFLD) which may be useful for you - you may potentially see if you can identify risk factors there or lifestyle factors that you can change to help reduce the fat in your liver.

britishlivertrust.org.uk/in...

They also have an excellent publication on treating NAFLD with healthy diet and exercise which may give you some good information.

britishlivertrust.org.uk/do...

Your ALT isn't massively elevated but up enough to warrant you taking steps to try and bring it down. The pre-diabetes as mentioned also needs attention. All this may follow on from your pregnancy but I am sure once you are running around after a toddler you'll be keeping fit and active.

I see from another post you have you are taking a self-prescribed over the counter thyroid remedy, maybe you should check this out with your doctor, some of these things arn't without their own risks and can mess up our own natural systems.

Katie

[DamagingGiraffe in reply to AyrshireK]

Than you for the reply. I have recently self perscriped out of desperation and trying to solve things myself, not the best idea and if I had money I would go private. I've done a bit of research on fatty liver, before pregnancy I was a full time gardener, outdoors and moving around all day, I was also fasting and low carb, i was slim but obsessed healthy eating with wanting to have 0 body fat. I was consuming alot of fat on low carb, but surely things would improve after stopping this. I started to feel tired but wired but ignored it, then pregnancy happened and I felt like death and had such bad pain on my right side I couldn't walk for long.

I feel like I'm missing something and my symptoms are connected but I don't know what.