First time post

[steprob]

Recently I had a Fibrosure test by my Primary because of rising LFT’s, AST 45 ALT 95

The results of the Fibrosure was as follows

Fibrosis Score .73

Fibrosis Stage F3-F4

Steatosis Score .71

Steatosis Grade S3-Marked or severe Steatosis

Nash Score .75

Nash Grade N2-Nash

With these results he referred me to a Gastroenterologist. He sent me for more blood work and a US. The blood work showed a possible disorder involving Iron and or Copper which definitely could contribute to Liver damage. The US confirmed increased Liver echotexture likely Steatosis, but everything else was normal, Spleen, Kidneys, Pancreas, no fluid, IVC’s

The Gastro guy said he was going to order a Fibroscan and refer me to a Hematologist for the possible blood disorder. (Still Waiting)

I’m a 69 year old male with T2D. My Primary Dr. increased my Insulin from nighttime only to also at mealtime to keep me BG tighter controlled. I’ve been keeping a food diary and have lost 8 lbs. since the Fib test 2 mo. ago. I gave up all alcohol and smoking and started an exercise program.

After reading all these post I saw the MRE test which I never heard of before, which is more accurate MRE or Fibroscan ? they both seem questionable according to some posts.

I want to thank you all so much for your posting, it gives me some hope that even if my fibrosure score is confirmed that with lifestyle changes I can stop the progression of this Illness.

[nash2 Partner]

It sounds like you are on the right track with a good understanding. MRE and FibroScan both measure liver stiffness. In the F3-F4 range they are fairly similar. Both have an error range like all tests but give valuable information. I think the FibroSure test was calibrated against FibroScan but all of them have decent predictive value with advanced fibrosis but give different views of how the organ is working.

Wayne

[steprob in reply to nash2]

Thanks WayneNow I hope I can get the Fibroscan fairly soon. When the doctors office called they said the US didn't look that bad, but we know an US only shows liver mass and not any scarring. I'm going to give them a few more days and the start pressing them to make the appt.

I read these posts all weekend and was amazed how many doctors ignore things that are so important.

[Maxy6 in reply to steprob]

Sounds like you are very well informed and determined. I did improve all my numbers with diet/exercise. It's a lifelong journey.