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Living with Fatty Liver and NASH
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28 yr old female, 135 lbs and fatty liver?

I have had pain in my RUQ for about 7 months. I had an ultrasound and CT. Both showed an enlarged liver of 19cm, and the ultrasound said I had "mild inhomogeneous echogenicity secondary do intrinsic hepatic disease". All my GI said was that I had "some fatty liver". I'm a big ole hypochondriac, and I asked my doctor lots of questions. They don't seem to know a whole lot. Everything I read says if you have some fatty liver and inflammation that it leads to steatosis. I asked my Dr and they said it's not.

I didn't think I had a horrible diet, and all I drink is water, and exercise 2-3 times a week.

I had a HIDA scan as well, and my gallbladder is functioning normally.

Is there anyone out there like me? I don't have any of the "risk factors" and I wasn't formally DXd with NAFLD.. so I don't even know if I have it. My Dr just told me to eat better and exercise more. Not even a follow up appointment to check on it?

Anyone have any advice?

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hey! i found this very informative site for fatty liver! ill copy and paste the link to the site hopkinsmedicine.org/health/... Hope it helps answer your questions. =)

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I think that site scared me more :( Does that mean I have NASH since I have inflammation?

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well im not a doctor, but diet, losing weight if the person is obese, but your a good weight like me. If you need to know if you have NASH, I would ask your family doctor to refer you to a specialist and I think its a Gastroenterology (GI). Lets hope you dont have it and it can be reversed if its not too late, so you really need to find out by a professional. i dont even know if i still have a problem with my liver still. I'm gonna get a ct scan again.......and get reffered too. (((hug))) we'll be ok! With a lifestyle change (diet and add cardio and stregnth training or yoga and drink lots of water too. Thats all I can say. =) But its nice to meet a fellow warrior. =)

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I am seeing a gastro, and I called my GP to refer me to a different gastroenterologist. Mine now is absolutely awful, and has not given me any type of DX. Just told me to eat better and exercise. So that's what I'm doing. I've changed to the medditeranean diet and will be doing that. But I would like to have an ultrasound again later down the road in a few months to see if the inflammation and fatty deposit is gone. Hopefully your liver will be better!

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that sounds like a great idea! sounds like your on the right track=) I hope your liver gets better too!

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Did “doctor” define eating better?...

Imho, getting sugar out if the diet is essential ...including, for a while, white stuff like potatoes and rice and flour...I think eventually white potatoes and rice can be eaten occasionally, if you know how much it spikes your blood sugar......white flour - no...

I think it’s essential to do blood sugar checks for a while so you know the direct impact, immediately...

Best of luck...

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They didn't. They were 0 help. I made an appointment with another gastroenterologist for more information. I have started the medditeranean diet. Whole wheat when I do eat anything bread like.

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So the dr probly doesn’t even know how you eat now, so the advice to “eat better” is ludicrous...and it’s a catchphrase...they said it so they feel they gave you advice...

I learned a long time ago we must educate ourselves (and I don’t mean go to medical school) and find what works for our individual body...

Drs are helpful for some things...long term health - no...

I’ve no doubt had I continued doing what the doctors I saw told me, if still be dependent on prescription medications, tho most likely I’d be dead...

Please look in to sugar and fatty liver connection...

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I checked out that “dr Hopkins” site...I had a negative visceral response to it....I would certainly not investigate it more or follow its advice...

There *are* doctors who know what causes fatty liver...

Check out Robert Lustig (California) and HEAL Care, Durham, North Carolina...

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Same thing happened to me . In 2017 I was diagnosed with fatty liver . My enzymes were in the upper hundreds . Often eating better my numbers went back to normal. I asked my dr why this was happening she said she didn’t know but important thing was that my numbers went back to normal she said , she scheduled me for new blood work and an ultrasound . The ultrasound revealed that I had a “rough” spot in my liver . (Right upper lobe ) exactly where I felt some discomfort. When the MRI came back she told me everything was ok . She send me home with a big smile . Although I kept feeling the discomfort . I thought it was my breast so I talked to my gynecologist and requested an MRI for my breast . Nothing was found . I recently read about inflation in the liver and I think that is what is happening to me . I am very upset with my dr . If she had told me 2 years ago that I had a serious condition I would have been taking better care of my diet . By the way I am 55 and weight 130 I have never been overweight.

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I am so sorry that has happened. Some Drs are so quick to dismiss patients. I have made an appointment with a different gastroenterologist and I go on Monday. I'm hoping to get some actual answers. If not, next stop is homeopathic doctor.

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Hi,

Sorry to hear you have a fatty liver. Best to not get too worried and do your homework on fatty Liver and best diet.

Questions, if I may?

Does diabetes’s run in your family?

Blood test, what was the number for your triglycerides? You need to know that.

Did your Doctor advise you of the potential dangers if your fatty liver progresses to fibrosis?

Do you currently eat a high fat diet?

Best regards,

Harrison McBeal

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I haven't had the worst diet, but it's also not been the best. I have recently started the medditeranean diet, and have done a lot if reading on the subject. That's what has me so worried. Doctor didn't say anything about anything, which is why I'm getting a second opinion..

My triglycerides are 99 on my blood work from October. Diabetes does run in the family, but not horribly. My mom was prediabetic, but fixed it. Some of my uncle's have it, but it's just the type they have to watch what they eat and not have insulin.

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Hello,

Let's not forget that other factors can cause fatty liver not related to alcohol, i.e supplements, medicines certain chemicals.

Take control of what you can and empower yourself like that. So what you can control is diet and Mediterranean is a good step. I can recommend a book "Skinny liver" lots of useful stuff in there and advice and tips, not just about diet but about other things too. Also the fatty liver foundation website has loads of useful stuff as well. Good wishes.

Best,

B.

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I really appreciate all of your advice and comments. I have an appointment with another GI on Monday. I will let you all what he says.

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Find another doctor. Don't bury your head in the sand. Keep researching! Good luck!!!

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