Resent diagnosis

[Sasha01]

I was diagnosed with NAFL . 64 years old . I am not overweight, After Fibroscan I am not sure meaning of IQR 9%. KPA 4.3 ?

High bilirubin, cholesterol, enlarge liver, autoimmune gastritis.

Trying to improve diet and added some green juice, not sure what to do .

[lecc]

Hi Sasha,

The KPa number is a measurement of liver stiffness.

The value below 7 (which is your case) indicates the absence of fibrosis (or only very mild fibrosis). So that's good news.

IQR is the interquartile range, it basically shows how far apart the readings made by the fibroscan device were. In general, the lower, the better.

Talk to your doctor. For NAFLD, you need to improve your metabolic profile.

[Sasha01 in reply to lecc]

Thank you very much , I really appreciate it.

[nash2 Partner]

Hi SashaYou were apparently diagnosed using some additional information. The Fibroscan should have also given you a CAP score which is an indication of how much fat is in your liver. The good news, it doesn't indicate that you have NASH, the advanced stage of fatty liver disease so that is great. If you are not overweight I assume the doc ruled out things like an auto-immune disease. You are apparently one of the small group of patients with lean fatty liver disease. There is a lot of information on the website. Here is a link to help you think about the diet but you probably need to have more indepth discussions with your doc to figure out just what causes your problem.

fattyliverfoundation.org/li...

[lecc in reply to nash2]

Hi Wayne,

now you got me curious. Is it possible to distinguish between NASH and NAFLD only by looking at the kpa score? Or did you mention "doesnt indicate that you have NASH" based on Sasha explicitly mentioning he was diagnosed with NAFL?

(The reason I am asking is because I got a 3.1 kpa result and my Hepatologist said I have NASH and not NAFLD).

Thanks in advance!

[nash2 Partner in reply to lecc]

Well, kpa is an indirect measure of disease and NASH is technically defined as inflammation which leads to scar formation and a stiff liver. The Fibroscan has been calibrated against the pathology reports and the docs decided that a value below 6 or 7 did not indicate scar formation or NASH so you can have NASH below that but the machine is unable to detect it. The doc may have other evidence which tells him that you have early stage NASH rather than NAFLD. Steatohepatitis or liver inflammation ultimately leads to fibrosis which is what they stage but those are just signposts along the way. Probably a very good doc.

[Sasha01 in reply to nash2]

Thank you, very much for your response. What would be recommendations for monitoring liver health: ultrasound and liver scan, every 6 months? My BMI is 22.9. Also MRI shows hepatic steatosis.

[nash2 Partner in reply to Sasha01]

I personally use ultrasound for HCC monitoring and LIVERFASt to track blood chemistries semiannually. Here is a link to some info on that in case it might be of some value

liverinfosource.nationbuild...

[Hidden in reply to nash2]

Is moderate hepatic steatosis the same as liver inflammation

[nash2 Partner in reply to Hidden]

steatosis is fat in the liver, inflammation is a sign of tissue damage, not the same thing though too much fat can lead to inflammation.

[MINTVCX]

About high bilirubin you can check if you have maybe Gilbert’s syndrome after ruling out other possible causes.