Elevated Liver Enzymes and Fatty Liver Diagnosis

[Azertyjct]

Seeking Advice on Elevated Liver Enzymes and Fatty Liver Diagnosis

Hello everyone,

I’m a 28-year-old male, standing at 188 cm and weighing 108 kg. For the past two years, my GGT levels have ranged from 200 to 400. I typically abstain from alcohol during the week but enjoy a few drinks on the weekends. My ALT levels are elevated between 100 and 150, and my AST is at 180.

I’ve undergone comprehensive blood tests, all of which have come back normal. An ultrasound indicated signs of fatty liver, which was confirmed by a FibroScan showing 282 db/m with no scarring (5.8 kPa).

Recently, after having five pints on a Saturday night, I’ve experienced tenderness in the liver area upon waking. Additionally, I deal with daily acid reflux, but a gastroscopy exam revealed no significant issues, so I take NEXIUM 20 mg once a day.

I’m concerned about the implications of my liver condition in the short, medium, and long term. Any insights or advice would be greatly appreciated!

Thank you!

#gastroscopy

#fattyliverdisease

#ggtlevel

#liverdisease

#fibroscan

#alcohol

[AyrshireK]

Your best bet would be to give your liver a break from alcohol for a good while to allow your liver to recover.

Your elevated inflammation markers demonstrate that your liver isn't happy. Giving it a bashing with booze at the weekend (even a social drinking amount can be like throwing petrol on a smouldering bonfire). The longer you have both a fatty liver and inflammation the more likely you are to eventually start sustaining actual liver damage - fibrosis which if it continues can become cirrhosis.

The fact that fatty liver and ongoing inflammation has been flagged means you need to start heeding the warning - healthy diet, exercise and at minimum a period of abstinence to allow your liver to heal a bit is most definitely required.

Katie

[Azertyjct in reply to AyrshireK]

thank you for your answer, I will give alcohol a break for 3 month and repeat bloods.

[Ubwa]

Stop drinking for a while, if it goes back to normal, you have your answer.Your bloods results are not by any means normal, unless you meant a before and after scenario.

[Azertyjct in reply to Ubwa]

Thanks for your answer, I meant all other markers are looking ok on bloods.

I will give alcohol a break for 3 month and repeat bloods.

[TheDutchguy]

Hi, Like you I was diagnosed with fatty liver (years ago). In the past year I started to feel an aching in my right side. It would come and go. More recently my liver area started to sting when moving or breathing deeply. I had my last drink 9 days ago. The sting has gone and the aching has become less frequent and severe. I drank a lot more often than you and this is what 9 days can do. So yes, abstain from drinking. I hope this will also bring your high blood values down. There is a direct link between GGT and alcohol intake. I experienced that myself this year.

Good luck!

[Azertyjct in reply to TheDutchguy]

hi,

Thank you for your answer, I appreciate the help and feedback….

This encourages me to stay off the drink for a good while.

Take care of yourself

John

[Kristian]

Hi Azer,

It looks like a few lifestyle modifications are probably gonna be helpful. You're a young bloke who clearly enjoys a bit of socialising. Nothing wrong with that, think that's probably you and most of the rest of the population, lol.

However, as well as some of the shorter term stuff mentioned already about drinking, you may want to think a bit more about nutrition too. I'll try and break it gentle to you, but, shhhhh, you're nearly 30 and approaching middle age 😆😆! It's gonna be harder getting away with some of the poorer habbits and choices now, lol.

You've clearly already had some investigations done and no one here's really able to offer you much info in terms of whatever numbers mean for you. But, there's plenty you can do that's probably gonna improve your overall health and symptoms. Likelihood is though, just gradual easy to accomplish, and more importantly sustain, actions should be sufficient. Yeah a bit less drinking, but also probably a bit more sensible/heathy diet may be useful too. No need to follow any stupid latest fad, just sensible eating should be more than adequate.

[Azertyjct in reply to Kristian]

Thanks Kristian,

I was up to 118kg at my highest in august2024. Dropped 10kg since. But enzymes still elevated.

My liver might be tired and need a total detox.

[Kristian in reply to Azertyjct]

You're probably better thinking of a more long term, but sustainable solution really. Short term detox's, whilst initially could be helpful. Without sustained longer term action, you'll probably keep yo-yo-ing back and forth with it. Hope all works out well for you though.