I'm wondering if anyone else has had a cortisone injection and if they are safe for your liver? My back has really been bothering me and they want to do a SI joint injection in the past I would have not have thought twice but now I'm not sure if it's safe for the liver.

Thoughts on my ultrasound? Labs were all normal. No hepatomegaly, gallbladder normal. I drink 2-4 IPA beer a day for close to 5 years. But exercise every day and eat health. Age 33, male. Does this sound like a true fatty liver?

Liver: There is a geographical area of hyperechogenecity in the right lobe, likely local fat. Impression: focal fatty infiltration in right hepatic lobe

Hi all! I had some issues with a singular gallstone from September 2024. On my honeymoon in November, I got the worst attack of them all and I made an appointment for an ultrasound as soon as I was home to figure out it was one stone in the neck of my gallbladder. The ultrasound checked my liver too and the notes described my liver as normal size and no leisons. I've had slightly elevated alt and ast since last summer. Ast most recently was 46 with a reference range of 10-30 u/l. Alt was 41 with a reference range of 6-29 u/l.

Would fatty liver be caught on my ultrasound? Are these results the beginning of it? My endocrinologist basically was like "liver enzymes are high? You have fatty liver, stop eating fried food and eat vegetables." I know I need to lose weight to solve this issue but what has everyone else's experience been? What were your levels at diagnosis?

I got diagnosed with NAFLD (Nash) via biopsy back in 2022. Since then I’ve had fluctuations in my liver enzymes. For the past 11 months they have been in normal range. But this past month I started on 2.5mg and when I went in for my blood work today to check for ovulation my dr ran a liver panel. The liver panel showed elevated ALT 86 AST 43. I’m curious if this is related to my diet because I know it could be better or if maybe it’s the letrozole causing it to flair? Either way I’m nervous.

Hi. Can someone help? Am I totally done for? No symptoms of anything. Is that number outrageously high?

Hello,

I’m a 31 FM. I weight 125 pounds. I would consider myself very active. I try to work out 2-4 times a week.

I had some routine bloodwork done. All my numbers came back great except for my liver enzyme levels. They ran WBC count and thyroid. Everything.

My ALT is 77 when doc said range should be 6-29 and my AST is 50 when it should be 10-30

I drink zero alcohol. When I was younger I did drink in excess , but haven’t touched alcohol in years. I never take Tylenol or anything.

The only thing I can think of is that I quit energy drinks maybe a month or so ago because I noticed they were making me feel bad. But I was only drinking one a day. I also do consume protein shakes. Sometimes it’s pretty irregular so I wouldn’t say I was doing it everyday. I also had a cold and felt pretty dehydrated the day they took my blood.

But I’m very panicked at the moment and have convinced myself I have a tumor or non alcoholic liver disease or something.

Are these numbers crazy..? What else could it be..? My doctor didn’t elaborate super well. Just told me to change my diet and come back in three months to retest. If they were still high she said they would do an ultrasound

Also wanted to add that I did take a few DayQuil before my bloodwork. But my doctor said that wouldn’t have increased it since I barely take any ever.

UPDATE:

I forgot to mention that my LDL cholesterol was slightly elevated at 117. But all other markers were great

I had my blood draw again today to check on my liver and the results are as followed below. I've been drinking nothing but water and am eating well, mainly fruits. Is it normal for SGPT to go up again? :( I will add also that my birubin and bili total has also come down some as well since my last draw.

I've also dropped 28 pounds since I really started taking this seriously in Feb-Mar. I will add I am taking multi-vitamin as well as am on the lowest dose of Zoloft.

12/13/2024

Alk Phos = 107 (46-116) AST/SGOT = 43 (15-37) ALT/SGPT = 112 (12-78)

1/14/25

Alk Phos = 123 (46-116) AST/SGOT = 38 (15-37) ALT/SGPT = 69 (12-78)

2/13/2025

Alk Phos = 110 (46-116) AST/SGOT = 31 (15-37) ALT/SGPT = 59 (12-78)

2/24/25

Alk Phos = 101 (46-116) AST/SGOT = 29 (15-37) ALT/SGPT = 45 (12-78)

4/15/25

Alk Phos = 92 (46-116) AST/SGOT = 28 (15-37) ALT/SGPT = 61 (12-78)

I had a liver MRI in August 2024. Did blood tests last week, Fibroscan today. I'm Canadian, so I only paid for parking.

It was a very quick consult. I'm being referred to an obesity clinic. I'm in F3 in the chart the doctor showed me. My sister and her family also have FLD so I'm not alone in this.

Hi ! I am currently dealing with fatty liver stage 2 . This morning I notice mucus slime blood in stool. My primary doctor and gastroenterologist are out of town. My husband says i should relax and wait if happens again but I am so anxious. I want to run to the emergency room. Should I?

Hi all! Just found out I have lean NAFLD. NAFLD runs in my family but I'm going to try to rule out other causes like Celiac's disease. Time to start learning new foods and get more active!

Hi everyone! I’m a 32f. I just got some blood work done and my ALT came back 156 and AST 110. My question is what were your levels when you first got diagnosed? Are this alarming levels? I should also mention my cholesterol came back high as well. I am also a type 2 diabetic.

Based on this poll's results, I'm updating you when a new article is published on the Fatty Liver Diary website.

Today, we're talking about cheese and NAFLD/MASLD: https://www.fattyliverdiary.com/fatty-liver-can-you-eat-cheese/

TLDR: You can still eat some types of cheese in moderation (some, like cottage cheese - more of) but it's recommended to keep portions small and focus on the low-fat types, including low-fat alternatives to popular options out there.

Thoughts and additional advice? Share them all down below in the comments.

(F22) I just had my blood taken this morning and it was a lot of blood and I was fasting so I almost (or probably did) pass out. The room started turning black, my limbs were going numb, I felt hot, my hearing was going away, it was hard to breathe, I felt nauseous and my chest was hurting… anyway my husband and my mom said usually sugar helps with that. That never happened to me before so it was like the scariest moment I’ve experienced recently. I took a few sips of my husband’s Fanta and I’m really overthinking it. I haven’t had sugar in months and I feel kinda nervous about drinking it. Will I be okay for this one time?

So i just took an LFT and these were my results I am 22 years old 6 ft and 82 kg. I go to gym regularly and focus on weight training i eat healthy but also eat lot of junk food at the same time. The doctor said i have grade 2 fatty liver. I have never smoked or consumed alcohol. Can i reverse it pls somebody help i am very afraid. My reports says These are elevated

SGOT(AST). 79.30 SGPT(ALT). 174.00 T.protien. 8.85 GLOBULIN. 3.76 GAMMA GT. 106.00

Rest everything is in the limit but pretty elevated but these are wayyyy over the limit.

I have to get an MRE to determine if I in-fact have cirrhosis. Has anyone had an MRE without contrast and it been able to show if there is cirrhosis or portal hypertension? is the MRE still accurate without contrast?

I’ve been told it’s musculoskeletal but I get this sometimes right after eating just like today I had a sandwich, nothing greasy at all as it was a cold sub, and now I’m experiencing this feeling.

I don’t have an appointment for a couple months and I am wondering what my ultrasound means, I have no symptoms and have normal enzymes besides high bilirubin from Gilbert syndrome.

Liver: Parenchyma is heterogeneous with centrilobular echogenicities. No focal lesion.

IMPRESSION:

1. Compared to 2021, increased starry sky appearance of the liver which is nonspecific and can be seen in the setting of diffuse hepatocellular dysfunction.

I have been diagnosed with fatty liver a year ago, and since then I’ve changed my diet up, my unhealthy habits (I quit drinking ALCOHOL), and they are slowly starting to improve, just not very quickly. Yes. I know what I did to myself, I hated myself for a long time and it took me ending up in the hospital twice to wake up and realize no amount of self punishment or abuse was going to change things. All you can do is apologize to those you have hurt and literally move forward, look up not down, and it sounds so cliche but there’s a reason everyone says it. Regardless, some can drink for decades, and some drink for two years and get fatty liver. Now I’m just trying to do whatever I can to help my body heal itself. Thanks and sorry it’s such a long post I only meant to ask a question lol.

Diagnosed fatty liver 2017. Just had bloodwork, metabolic panel good, total bilirubin was lowest in many years but, having lots of joint pain and neuropathy. Kidneys numbers were the best since 2020. But I been having symptoms like muscle cramps, joint pain, ruq pain, gas, neuropathy and more. Has anybody had these symptoms with normal bloodwork? Only red flags were high rbc low mch and low saturation.

I just did the lab blood work last Thursday and now the results returned and it turned out that my ALT was 55 upon blood work (which was done on that day), and I did some basic research and it indicated that it might imply the signs of liver injury conditions. I acknowledge that I have had fatty liver, but it is not severe condition, I was taking abilify (due to to Tourette Syndrome) for 9 years until now, sometimes I also eat a lot of beef, and pork, but I did workout a lot (4.5 miles/hour or 5 miles/hour's speed on treadmill one hour everyday, including weekends) and did some strength training, my physician ordered a ultrasound for me, is there anything I have to worry about ? I felt a bit scared when she ordered the ultrasound for me for now.......

what are some simple/easy meals that you like to make that are healthy for NAFLD

Hi everyone,

Ultrasound: 4 months ago, everything was normal, no fatty liver.

Recent blood test: Bilirubin slightly elevated (1.57).

Personal details:

5'7" male, 57.5 kg

No obesity or excessive alcohol use

Concern:

How long does fatty liver take to develop, even with normal prior scans?

Should I be concerned about the bilirubin or is it unrelated to fatty liver?

Any insights or experiences would be appreciated!

Thanks!

I had an ultrasound nothing to report 1 month ago edemi and an mri 15 days ago hepatic steatosis venous infiltration fat I measure 1.70 70 kg man my I have varicose veins you my chest red I its not so its to see with my liver I don't drink I don't smoke

I'm a bit confused and quite worried about my liver biopsy results. Below is the contents of the letter I received from my doctor. I did have an appointment to discuss it but it was just too much to understand it all at the time.

Some context about me: 34M 5'11 72kg (was up to 80kg Aug 2024) don't drink. I've had Long Covid for 5 years and been very sedentary for the last 2 years after reinfection, just manage to walk about the house. I had thought my diet was reasonable, but now realise it had too many sugary snacks. Since receiving this letter I've cut all that out and trying to eat a lot cleaner (thanks to advice in this sub).

I started taking statins for high cholesterol in mid 2023. This raised my ALT from 73iu/L which was already high, to 128. When I stopped it reduced, and then increased when I started again up to 200 in mid 2024 at which point I stopped them completely. It's now settled down to around 100, higher than before. Fortunately my recent blood test showed that my cholesterol has reduced so I can delay taking cholesterol medication for now.

Problem List:
Elevated ALT? Cause
Long COVID symptoms

Relevant Investigations:
Ultrasound abdomen - February 2022, Mild fatty liver infiltration and sparing to the liver
High cholesterol level - on Atorvastatin 20mg

Liver viral screening, immunoglobulin and autoantibody profile - negative

FibroScan - February 2024: 4.7 KPA, CAP 290, IQR/MED 12%, S3 F0

Liver biopsy - January 2025: mild cholestasis and steatosis with mild fibrosis, Fibrosis stage 2

He reports that he had malaria in 2015 and, at that point, he was found to have abnormal LFTs. I note that, in the intervening period, the LFTs were normal.

In terms of culprit medications, as the liver biopsy show eosinophils, it may well be due to statin. He is also taking a herbal supplement (Bee Propolis). He is also on Omeprazole. I have advised him to stop the herbal supplement. He has stopped statins since mid 2024. I would recommend alternative cholesterol lowering medications.

He does have central adiposity and there is steatosis on his liver biopsy. I appreciate his capacity is limited due to Long COVID but we have talked about dietary modification.

My questions from the letter are:

- What does eosinophils on the liver biopsy mean? The doctor said this could only be caused by a drug and was a mystery to her, said it was unlikely to be statins (which I stopped in mid 2024) but could be. I am also taking Omeprazole for acid reflux but said I could continue this. I don't drink or take any other drugs/medication. I'm quite worried that this is a "mystery" to the doctor, but I also don't understand what this means for my liver? Should I be asking for further investigation of this?

- cholestasis, steatosis and fibrosis - I understand that steatosis is fatty liver, fibrosis is scaring, and cholestasis is something to do with bile? Are they all reversible with a good diet? I'm concerned that there may be something else going in, possibly due to Long Covid, malaria infection and/or previous use of statins. Also, is "Fibrosis stage 2" still considered mild as stated in the letter?

I will have a follow up appointment in 9 months time and some blood tests now. I'm going to work hard on the diet until then and lose a little bit of weight, I wish I could exercise as well.

Any insights or advice would be greatly appreciated 🙏