Need your opinion on today's bloodwork.

[Johnnyjaundice]

Okay,

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

[nash2 Partner]

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.

Wayne

[Johnnyjaundice]

Forgot to mention. Dr put me on topermate and Phentermine.

[gillianTS]

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:

healthline.com/health/how-t...

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:

healthline.com/health/how-t...

The above should also help AST levels.

You can read more about high MCHC too:

healthline.com/health/high-...

More here on foods you can look to incorporate in your diet to lower your high cholesterol:

healthline.com/nutrition/13...

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:

healthline.com/health/liqui...