Please help me understand this

[MLB_77]

I have finally found my latest blood work and have used the fib 4/ NAFLD calculators and would appreciate some help understanding them.

FIB4 score is 1.04

NALFD is -2.09

I have tried looking at the graphs and can’t make sense of them. I don’t know what half the letters mean (like NVP?)

Are those scores in “normal range”? Does the scale start at “zero”?

Are these scores something I should look into? I know this is not diagnostic, just an estimate

My “basic” blood work has always been “normal” and I had an ultra sound over the summer that said “normal”. I was elated until I saw on here that ultrasounds often don’t detect damage . Ugh so frustrating that it can’t be easier to detect!

I’m 39 female. 5’3 120 pounds

[nash2 Partner]

Hi MLBThose scores mean it is very unlikely that you have any significant fibrosis. With those values and the ultrasound it is unlikely that a doc will be inclined to do more intensive testing but the next step would be fibroscan or more advanced blood tests. What makes you think you have liver disease? It would be uncommon at your age and weight.

[MLB_77 in reply to nash2]

So it does show some fibrosis, correct? Fatty liver? I guess that’s part of it is my size. I haven’t always been too kind to my body with alcohol. Drank regularly for 20-21years. On top of that my obgyn prescribed me 800 mg ibprofen after giving birth and kept refilling it. I never thought twice about popping one. I did that for 8 years.

I just never thought twice about my liver at all. I had a really high tolerance for my size. I rarely drink anymore but I do know my tolerance is almost nothing which tells me my liver doesn’t work as hard. I see so many posts about people saying they wish they would’ve known early and made changes. I asked my dr for full liver panel and she just said that I don’t need it.

I just wish there were more accurate easy ways to detect issues, because I obsess about it now and try my best to make health conscious decisions.

[nash2 Partner in reply to MLB_77]

Actually it suggests no fibrosis, however, you must understand that it is a probability calculation not a diagnosis. It doesn't work well for about 15% of the population and there is a condition called lean NASH that medicine really struggles to diagnose. To figure it out the next step would be a test that measures stiffness. Either a Fibroscan or an MRE if either are available in your area. Fibroscan is much cheaper MRE is a version of an MRI scan and far more expensive. Unfortunately people like you are very hard to diagnose and someday you might go all the way and need a biopsy.

[MLB_77 in reply to nash2]

I appreciate your advice, thank you