u/Happy_Ebb6045

My doctor mentioned mild fatty liver last year and basically told me to lose some weight, walk more and stop treating takeout like a food group. I didn’t do anything insane, just less drinking, fewer late night meals, more boring home food and not to forget walking after dinner most nights.

I’m due to recheck labs soon and I’m curious what people here actually pay attention to. Is it mostly ALT/AST on the CMP, or do you also watch A1C, triglycerides, HDL, weight, waist size, etc?

Not asking anyone to read my labs, I just want to understand what markers people actually follow over time instead of obsessing over one number.

I was spending $180 a month on supplements and had no idea if any of it was actually doing anything.
No baseline. No before. No way to know if any of it was moving the needle or if I was just making expensive urine.

My doctor wasn't interested. Asked about ApoB, Lp(a), fasting insulin, hs-CRP at my last physical. Got "your cholesterol looks fine." Apparently none of those are standard and there was no clinical reason to order them for someone my age with no symptoms.

So I looked into ordering labs directly from Goodlabs. I picked the heart health panel which covers ApoB, Lp(a), hs-CRP, homocysteine, lipid panel, and uric acid. Paid upfront, walked into a regular labcorp, done. ApoB elevated. Lp(a) high, genetic so can't supplement my way out of it, but now I know. Fasting insulin fine. Vitamin D at 31 despite supplementing, so the dose is probably right. Spending serious money on a stack without ever testing whether you actually need any of it is just guessing with extra steps.