So as mentioned before, I am aggressively loosing weight to deal with my liver disease. I have been on an all liquid diet for a month an half and on average I have been losing 7lbs a week since. Since my Fibroscan test in April, (where I was around 350lbs), I am not around 258lbs. I am slated to lose another 58 pounds. My test results today were mixed. My bun/creatine ration improved since 2 months ago, but my ast tripled, even though I am losing weight. Alt slightly lowered. For those of you who are familiar with liver disease, please let me know what you think. I have little to no symptoms of cirrhosis. My doctor things many of the abnormalities are due to the diet. What is your take?
Total protein 7.7 normal
Albumin 5.0 normal
Globulin 2.7
A/G ratio 1.9 normal
Glucose 94 normal
Sodium 138 normal
pottassium 3.6 normal
chloride 97 normal
c02 26 normal
bun 19 normal
creatine 1.08 normal
e-gfr 86 normal
bun/create ratio 17.6 normal
calcium 10.2 normal
uric acid 8.8 high
Iron 49 low
Bilirubin total 1.1 normal
Alk phos 65 normal
AST 125 High
ALT 60 High
GGT p 47
Cholesterol 164 Normal
Triglycerides 87 normal
HDL Cholesterol 33 Low
Non HDL Cholesterol 131 High
LDL Cholesterol 114 High
WBC 9.81 Normal
RBC 5.11 normal
HGb 16.0 normal
HCT 43.1 normal
MCV 84.3 normal
MCH 31.3 normal
MCHC 37.1 high
RDW 14.4 Normal
POLYS 63.8 normal
Lymph 27.8 Normal
Monos 7.3 normal
EOS 0.7 normal
Platelet count 252 normal
MPV 11,0 normal
protein urine trace
ketone urine 1 plus
bilirubin urine negative
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Johnnyjaundice
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Well, our view shouldn't be relied on since we are aren't doctors and even if we were it would guessing without knowing more but some general thoughts. Very rapid weight loss is a challenge for the body and can be hard on the liver so they recommend a slower but steady weight loss. A hepatologist might be able to tell you where the balance point is but it probably is different for different people so there's that. Something t be careful of with a liquid diet is to make sure you get enough protein. The liver requires it and if it doesn't come in the diet it will take if from your muscles. You don't want part of your loss to be lean muscle wasting. Chances are that your liver enzymes are being driven up by the diet so I'd talk to the doc about that. Great goals but pretty aggressive so caution is appropriate.
Not knowing what you are eating or should I say drinking in your liquid diet it is hard to say what you should be including and foods you should be avoiding, not knowing if you are making your own or purchasing ready made liquid meals. I have to applaud you on your weight loss, there is a but though, like nsdh2 has said you have to be careful, many conditions do not react well to rapid weight loss but factor in your diet in particular which is in liquid form then your body is not processing food in the usual manner, there are huge reasons why we usually eat whole foods. Remembering all the time that you have a liver condition and what is suitable diet needs to remain key.
High Uric acid is likely to be your diet have a read of the following which might help you determine what you might be eating and how you can improve the high levels:
As far as high ALT is concerned again you need to address your diet to help lower your ALT levels, consideration should be made to adding more folate rich foods to your diet, the following might be helpful in suggesting which foods:
It is routinely reported that being on a long term liquid diet to lose weight that the results may not last. When you drastically cut calories, your metabolism slows to save energy. Unless you change your eating habits, you are likely to regain the weight you lost after you go off the liquid diet.
A dietician nutritionalist gives her professional opinion on liquid diets and their uses and pitfalls, both for losing weight and for certain conditions might be worth a read:
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Covid and elevated AST / ALT
Anyone with Cirrhosis from NASH?
Fibroscan after one year from last one
Primary Care Physician? 
Elevated LFTs, Bilirubin and RBCs - please provide input. 
