Hi all,
I have diagnosed cap 350 and Kpa 17.6
Age 45 yr
Weight 114 height 167 cm
Type 2 diabetic also but regular drink before.
now already stop completely from 3 weeks clean diet lost 7 kilo weight .
Does it go to normal after 90 days .
Please suggest .
Hi, one important thing to check is your ALT levels at the time of the FibroScan. Active inflammation can temporarily increase liver stiffness measurements, making the result look worse than it actually is. If your ALT was elevated, it might be worth repeating the scan later when inflammation subsides.
That being said, your CAP score suggests significant fat accumulation. Fat can decrease quickly with weight loss, but fibrosis takes longer to improve.
You're on the right track by losing weight and avoiding alcohol. Keep monitoring your blood sugar levels, stay active, and consider repeating a FibroScan in 6–12 months to see real improvement.
Hi Thank you for support
Now without tablet my blood sugar in control 6.5 after having meals . I quit sugar from last 15 days .
Does my kpa level go normal in 90 days if I am on this track . V less inflammation now .
Have you checked your ALT levels recently? A decrease in ALT could indicate reduced inflammation, which might help in assessing your liver’s recovery. It is very important to know what the ALT level was immediately before the fibroscan for the correct interpretation of the data.
As for your Kpa level, improvement is possible, but it depends on the extent of fibrosis. If significant scar tissue has already formed, the process of reversal can take longer.
Maintaining good blood sugar control and weight loss is crucial, and you're on the right track. However, to objectively assess progress, it would be best to repeat the FibroScan in 6–12 months.
Hi all,
After 30 days blood tests triglycerides came from 2.6 to normal 1.5 and alt and Ast is normal.
inflammation is low . Just clean vegetarian diet no sugar . Only fruit , black coffee, grilled fish and boiled vegetables.
Blood pressure is also came normal.
Hbac1 came low from 10.1% to 8% in 30 days
Fasting glucose is 5.8
Thank you
Your very unlikely to get "normal" scores in 90 days and probably never will.Only your Dr can confirm but your KPA indicates cirrhosis and CAP says very sever fatty liver.
You can improve things though and with average luck you can stop it getting worse and live a normal life span.
Hi Roy severe cap score showing and kpa but blood tests are normal . It’s F3 grade. Already loose 7 kilos
Going to loose 20 kilos more in next 5 months .
Only triglycerides bit high .
Does it take 6 months once kpa down and cap normal . Once it’s normal .
Can I have drink on weekends.
Thank you
New here what KPA and CAP
Often, when here we mention CAP or kPa, what we are talking about relates to test results from having a non-invasive FibroScan.
A FibroScan is a type of liver elastography. The FibroScan is a special ultrasound that measures liver stiffness (hardness) and fatty changes in your liver.
When a Doctor talks about these measurements; they are helping you to learn more about your liver disease. We know that livers can become damaged over time, and may not show any signs until there is a large amount of damage.
The testing and consultation is intended to help identify how much (and what likely type of) damage your liver has, what treatment and lifestyle advice is necessary, any implications for the management of any other conditions you already might have, plus the information informs the Doctor's recommendation about how regularly you should be monitored for re-testing (to check the any treatment and lifestyle changes are having an improvement impact, plus to check with you that your health and list of symptoms has not deteriorated or to consider the liver Doctor's guidance about any new suggested medication another type of Doctor or GP may have suggested if you have other conditions too. A monitoring appointment also gives you a chance to check you are supported about how you are adapting your lifestyle (food, exercise, alcohol, sleep, stress). It also means you can discuss any discomfort or pain management.
When talking about CAP - it is way the percentage of fatty change in your liver is measured. (You might hear people here, or a Doctor, talking about Steatosis (STEE-uh-toh-sis): a condition caused by having too much fat in your liver). Confusingly, when grading how much fat is in the liver; you might hear people mention a three digit number - between 100 to 400 as the CAP score is measured in decibels per meter (dB/m), or you might hear them make reference to a grade such as S1, S2 or S3, or they might describe a percentage - e.g. 260 to 290 dB/m / S2 / Between ⅓ and ⅔ (34% to 66%).
When talking about kPa - it is about the way Liver stiffness is detected: the hardness of the liver may be related to liver scarring. Your liver stiffness result is measured in kilopascals (kPa). Normal results are usually between 2 and 7 kPa. Your result may be higher than the normal range if you have liver disease. The highest possible result is 75 kPa.
Your liver Doctor actually combines their understanding of a range of health test parameters (blood tests, ultrasound, FibroScan, other imaging) with their understanding your / your family health history (other conditions) and your lifestyle to assess what is most likely to be the liver situation for your body.
If liver stiffness and your medical history test results were to indicate the likelihood of Fibrosis (fy-BROH-sis): scarring in your liver, you might also hear people talking about the extent of that along this style:
Normal: This means your liver has no scarring, or mild scarring.
Moderate and severe: This is liver scarring that can be reversed (undone) by treating your liver disease. Good nutrition and healthy lifestyle changes can also slow down or reverse the buildup of scarring in your liver. You may not have any symptoms of moderate liver scarring.
Advanced: Cirrhosis (seh-ROH-sis) is a late form of advanced liver scarring. This happens over time in chronic (long-term) liver disease.
When talking about fibrosis you might hear Doctors and people hear talking about a score of F1 through to F4, but rather than explain that here, it is more sensible to have a proper conversation with your liver Doctor about it in your own context. This is because there are about 6 different contexts for why things may be they way the are for a given liver disease patient. Your Doctor will consider if other health conditions may influence fibrosis test sensitivity. Also, not every liver disease patient has fibrosis.
Again, when talking about cirrhosis results, a proper conversation with your liver Doctor is sensible as the next layer of information may be about the likelihood of the liver being 'compensated' versus 'decompensated'. 'Compensated' or stable liver cirrhosis is when the liver has permanent scarring but is working OK. Your body is able to cope with the damaged liver. People with compensated cirrhosis might not feel ill. You can live for years with compensated cirrhosis. 'Decompensated' liver cirrhosis means that your body is no longer coping with the scarring, and your liver is not able to function properly. Cirrhosis can go from compensated to decompensated in different ways. This can be hard to predict. It can be caused by triggers such as infections or alcohol intake. Your Doctor will consider if other health conditions may influence cirrhosis test sensitivity. Also, not every liver disease patient has cirrhosis.
They really do need you to fully understand what they believe is the best treatment and lifestyle suitable for you to improve your liver health. This is because your liver health treatment is a collaborative effort between: your liver team, your GP and how you play your part in making the necessary lifestyle changes. Addressing liver disease is unusual compared to many other conditions - in that there isn't a "take this medication to cure it" approach (although there may be medications to target specific symptoms). It is more of a continuous improvement effort dictated / constrained by how damaged your liver is, why that may be the case, plus how well it can respond to treatment and lifestyle changes.
This is why here you will often see people trying to celebrate / compare / commiserate / support each other - using the CAP and kPa measurements as a benchmark or shorthand for explaining and understanding whether the treatment efforts and the liver's response are appearing to indicate improvement / same / deteriorating health.
However, considering the complexity / nuance / personalisation which is involved in liver health testing, treatment and monitoring - that is why on this forum we try to avoid "diagnosing" each other - that is the combined job of your liver Doctor / GP ...and why it is sensible to fire "Dr Google".
I believe, this all means that when you are engaging with Doctors about liver health (to maximise "facts, understanding and health progress" and to minimise "worries and wasting progress time due to misunderstanding") the four important"rules" are:
1) TELL the Doctor EVERYTHING at initial consultation and monitoring checkups (make a list as you think of things you want to let them know about and consider),
2) LISTEN to or read carefully EVERYTHING the liver team share with you (there can be a lot of information to absorb, but they do provide it with your situation in mind),
3) ASK Doctors EVERYTHING about what you didn't understand / you would benefit explained on a diagram instead / think they may have misunderstood what you meant / you worry about / need to know how to implement your lifestyle changes, and
4) DOCUMENT, in a notebook EVERYTHING along your liver health journey. There is too much in the way of: information, terminology, questions, feedback and guidance - to just keep it all in mind from one appointment to the next (often months apart). Also, if for some reason you were to become unwell - liver-related or another condition - your notebook history can help to "speak" to a healthcare professional on your behalf if you are not able to do so as well as usual. A relative or general Doctor might not have all the relevant facts / understanding - but your own history notes should point the clinical team on a more appropriate direction. Sure, there are NHS electronic records - but access to the various systems is not as "joined up" as you might imagine. A good example is the limited flow of information between physical health versus mental health, or sometimes between primary care and secondary care. Sometimes you might have received information from the liver team which is not visible to a GP on their IT records. It can be frustrating, but you / your relative ...armed with your own notebook can help avoid sensible things being overlooked.
Thank you the information.
I can only tell you my experiance.My KPA is now 5 points lower than yours and I have cirrhosis, it does not go away.
If you drink at all it will get worse.
Your KPA might get lower if you quit but that's not permission to drink again.
There's a lot of damage in your liver and you are aware of it, remove the cause and with average luck it will improve.
A damaged liver can't deal with alcohol and now its stressed it takes less and less alcohol to cause severe damage.
For me, going Carnivore reversed a very similair score to yours, Although KPA was lower.
Thanks kyle for motivating me. Does kpa also goes down to normal if I eat healthy small 5 meals for 5-6 months and loose 3-4 stones.
I can only speak to what worked for me and the advice that I found really helpful. IF I were back in your position I would sack off ALL carbs for at least 6 months and then repeat the fibroscan. I would fast. Start trying to do no breakfast and eat around 2pm then last meal at 5.30pm. Then I would increase to one meal a day. Eat only meat, cook in beef dripping, butter or tallow. Stick to high fat meat and stay away from lean/fat free. Eat red meat until full. No refined sugar or honey or fruit for 6 months. IF you need a treat, greek yogurt and some dark chocolate or cacao lattes with raw milk. I would start researching carnivore and NAFLD. Everything came down for me to perfect within 6 months.
Good luck.
Hi, advice on kpa score and retesting in 6 months time is good. Stay on a healthy diet and lose weight if you're overweight. Do not drink alcohol. The post above from kyle is about cap score which is fatty liver. Your kpa is re stiffness related to damage which is different (Kyle's was normal range). Your kpa may go down but only time will tell. You have a chance if you're healthy going forward/ take all the advice from docs about your other underlying health conditions. Good luck 👍.
Thank you ARMB I lost 7 kgs and taking boiled vegetables or homemade vegetable soup . One apple snack and one black coffee and salad evening also vitamin e tablet lost belly wait and type 2 is also normal levels.
Please suggest if go like this for six months does everything go normal . Trying to lost 20 kgs at least .
Thanks
31.6 kpa fibroscan result 
kpa result andno idea
Fibroscan Results (75 Kpa)
alcohol hepatitis Kpa 16.9 
Kpa results from scan 
