25M, obese (111 kg), recently diagnosed with MASLD/MASH.
I had a FibroScan that showed CAP 313 and liver stiffness 6.4 kPa. My gastroenterologist diagnosed me with MASLD/MASH and advised me to lose 10% of my body weight over the next 3 months, follow a low-fat, high-protein diet, avoid red meat, and drink 2–3 cups of black coffee or green tea daily.
My blood work:
ALT: 40 U/L
AST: 30 U/L
Bilirubin: 0.8 mg/dL
ALP: 72 U/L
CBC was mostly normal.
For context, my lifestyle has been terrible for years—lots of beer, seed oils, spicy/junk food, and very little exercise. I’m finally taking this seriously and have started changing my diet and working on losing weight.
How bad does this look? Is this something that can realistically be reversed with weight loss and lifestyle changes? Has anyone here gone from MASH back to a healthy liver? Any advice or success stories would really help.