My ALT and AST are currently 29 (down from a high of 36 and 32, respectively). All other liver markers are normal. I had an ultrasound that said “minimally echogenic hepatic parenchyma suggesting very mild fatty infiltration.” It also saw a mildly dilated biliary duct so I was sent for an MRI. Everything in the MRI came back totally normal so the mild dilation may just be my anatomy.

I asked for a fibroscan as one last peace of mind test. 3.2 kPa so no fibrosis but 300 CAP, meaning severely fatty liver. I know the fibroscan is meant for this but if my liver was truly in stage S3, wouldn’t the US and MRI have seen more evidence? I read a study that said fibroscan is actually good at overestimating the fattiness. Has anyone had an experience like this?

*the reason I asked for all these tests is that my mother was recently diagnosed with cryptogenic cirrhosis at 65. She has been obese and diabetic her entire adult life. I am neither but I do have some very positive autoimmune markers. The doctors thought perhaps my mother had autoimmune hepatitis so I asked for a full liver panel.

I have struggled with fatty liver for years! Over the last year and a half I have completely changed my lifestyle. I eat very healthy cut out all fatty food, sugar and alcohol. So far have lost 92lbs and liver is not improving. Feels like I’ve gotten tested for just about every autoimmune disorder that can possibly cause the enzymes to elevate and still nothing no answers. Was informed the next step would be a biopsy. I’m absolutely terrified to do it luckily I have a few months since the first available appointment isn’t for another 4ish months.

I’m considering going to a naturopathic doctor but they don’t take insurance and it’s very expensive. Would like to know if anyone has been on the same boat before? I just really don’t know what else to do.

Hey everyone,

Finally cleared of my fatty liver. Ultrasound and blood work showed my liver (which was also enlarged) had reduced back to normal. No signs of anything anymore, thank God.

That said, I still feel a slight discomfort in my abdomen. My doctor said it very well could be anxiety over the whole issue. Has anyone ever gone through this?

Hi everyone,

I have been having some health anxiety for the last couple of days, as my physician‘s NP has scheduled me for an ultrasound in a couple of weeks as a result of two blood tests showing “elevated ALT.”

6 months ago, I had a test that showed my ALT at 43, and last week I had a scan stating my ALT was at 46. The repeated elevated levels and the NP scheduling an US have me concerned. The NP brought up NAFLD being a possible cause for the elevated levels.

Should I be preparing for a diagnosis of NAFLD?

More information:

I am a 32 year old man, I am 6’2 in height, fluctuate between 255-265 in weight, my diet is really not great, and my AST levels have been in the lower to mid 20s for each test.

I apologize if this is an unusual post here, just trying to find answers/prepare myself.

I'm 25F and my blood test came back showing my ALT is 216 IU/L and my AST is 124 IU/L. I don't ever drink, I'm in a healthy weight, and I don't have preexisting conditions. However, i am pre-diabetic with my A1c being a 5.7. What could be causing my high ALT and AST? A year ago, it was at a 20. Could there be an error with the blood test?

I’m not surprised at all. I have been lax in personal accountability from, fast food, sugary drinks, the works. Luckily my numbers are only slightly elevated and the ultrasound didn’t show anything too serious. Now I’m on the road to reversing this problem through exercise and changing my diet. I’ve lost 15 pounds thus far( 324 lbs down to 309). I’m staying in good spirits and have a great support system, being my wife and kids.

I am very underweight with stage2/3 fatty liver. I need 2500 calories to avoid losing more weight and to help me regain some muscle. I also have a low tolerance for fat in my diet. I cant digest them well and they stress out my liver (i get headaches,nausea when i eat too much fat along with pale stools and bulky greasy stools). Every time i try to increase my healthy fats to get more calories I run into these troubles. Plus I have been told that if my liver cant process the fats properly and I try to eat them anyway, I will stress out my liver and make my fatty liver worse.This fat intolerence is a really bad problem for my fatty liver situation becasue I desperately wanted to go keto or low carb to reverse my fatty liver and save my life but it is impossible for me becasue I cant eat high fat and get all my calories from fat. I can only eat about 40 grams of fat. Which is about 300-400 calories tops.So in order to get the 2500 calories I need to survive I eat alot, alot of beans: 4 cans a day for 1600 calories. The beans are a high quality low GI complex carb but they are still carbs. And when you add in my other carbs i get over 216 carbs a day. I am caught between a rock and a hard place that I have all these contradictory health problems at once: severe fatty liver, underweight needing alot of calories (when most people are overweight and can cut calories), and not being able to eat alot of healthy fats to get the calories from the fats instead of the carbs. I have resaerched this extensively for a long time and there is no solution for me that i can find. You have to get your calories from carbs, fats, protein. There are no other options. And i thought about trying to get 1000 calories from protein, but that would send my protein grams sky high if i eat alot of meat in addition to all the beans. And I dont know if my liver could tolerate eating alot of meat. Please help me figure something out. I am so afraid that I am going to die from fatty liver disease because I cant go low carb because of my high calorie need and bad fat digestion. Any ideas, tips, or suggestions about how to save my liver when i need alot of complex carbs.

Hello Everyone! After my last post I was doing really well, I had lost a little weight and a lot of inflammation. The last week and a half, I was exhausted and ate like shit. I’m having light pain and acid reflux now. I know that I can get back up on the horse, but I’m just disappointed in myself for falling off course.

I can do this! But it’s hard. 😭

Is it possible to get a positive smooth muscle antibody titer 1:80 with fatty liver? I’m diagnosed, however maybe it’s also Autoimmune hepatitis?

Hi Everyone - Today I got an USG done for abdomen to see my urethra and hit by the news of Severe fatty infiltration of liver. Just to give a bit of context about me: I am a M39 of bulky build weighing 122Kg for at least 5-6 years and 188cm tall. I don't drink and infact not even 30mL in last 2 years and so. Before that I was rare and occasional drinker. I don't smoke at all.

My lifestyle is very sedentary and sit on chair for 6-7 hrs./day.. recently started yoga session and that's 2 -3 sessions/week.

ULTRASOUND ABDOMEN AND PELVIS

Suboptimal evaluation of liver and gallbladder due to increased subcutaneous tissue thickness and attenuation of USG beams by hyperechoic liver.

Liver is normal in size (14.8 cm) and shows diffuse increase in parenchymal echogenicity, suggestive of severe fatty infiltration. No intra or extra hepatic biliary duct dilatation. No focal lesions.

Portal vein is normal in course, caliber and shows hepatopetal flow. Hepatic veins and their confluence draining into the IVC appear normal. CBD is not dilated.

Gallbladder is partially distended.

Pancreas to the extent visualized, appears normal in size, contour and echogenicity.

Spleen is borderline enlarged in size (12.5 cm), normal in shape, contour and echopattern. No evidence of mass or focal lesions.

I've been so worried after this report which came in today and waiting for the follow-up. Need some insights and way forward. Pls do take time and guide me through this.

The gluten free options tend to make my liver feel worse, kinda lost I basically just eat whole fruits veggies and meats but kinda looking for safe things to add that satisfy both issues to maintain weight

I'm 28, early stage NAFLD, 6foot tall, I started at 219lbs and now I'm down 195, I generally eat good with some cheat days every now and then. I had one cheat day a few days ago, but was just given a pan of banana pudding, will it be bad if I have a little bit every other day like two or three times this week?

I know I'm on here asking these kinds of questions a lot lol

Hello everyone,

Sorry im still a little ecstatic from the news.

Background: As a child, my only symptom was acanthosis nigrican but I chalked it up to being a bigger kid for most of my life. My heaviest weight was 265 at 6"3 as a male. 2 years ago I started using GLP1s and lost 45 lbs. In October 2025, I asked my doc to do a liver scan due to random worry (no pain, no symptoms, its just...felt like I should). Stiffness came back as 10.9. Enzymes were lower than previous (30s) but still improvement was needed.

From October 2025 to May 2026, I ate (what I referred to as) the DIRT diet, heavy meditaranean, tofu, occassion snacks, whole wheat everything. I am on Mounjaro 12.5. Lots of Zevia with the occasional diet soda. I dropped from 220 to 206.2lbs as of today.

Results from MRA came back today: 3.1 stiffness! 0.1 away from normal/inflammation. I could cry. Entire MRA was clear of abnormalities.

Its possible. For those with fear, its very possible. Dedicate yourself to eat healthy. Avoid temptations. Occasional snacks and a meal once in a while is fine, but do better for yourself, and you will improve.

Hi!

A month and a half ago I took a blood test and it said my Ast was 49, and my Alt was 55. For reference, I am a young woman with a BMI of 20.5. My doctor said I had​ nothing to worry about, but last week ​when I went to the gynecologist for unrelated reasons, ​she immediately said that these levels were very alarming​. She said that I needed to immediately cut off sugar and stop drinking (I haven't had a drink in over three years so this wasn't a problem). She ordered me to redo my blood test. Yesterday my results came back and my Alt is now 35, while my Ast 44. Should I Iook further into this? The complete opposite reactions my doctors had, has left me a bit confused 😅The thing is my doctor seemed extremely dismissive and I doubt she would prescribe me a visit to a hepatologist​, and I can't tell her to prescribe me another visit ​​to the gynecologist to talk about liver issues lol​

Thank you in advance for any help and advice!

About a year or two ago I noticed I felt like total crap if I ate something like a really sugary cake or even a bowl of white rice. Brain fog, maybe a bit of nausea, just overall blegh. I used to be able to eat this stuff way more before. I saw an endocrinologist last year and my fasting glucose was normal and I have an A1C of 5.2. Not prediabetic. I'm REALLY skinny (BMI 17.6) and I walk 20 minutes to and from work, so at least 40 min of walking a day, plus I walk to get lunch, do errands etc (I live in a walkable city and don't have a car). The only thing is, I have definitely been slacking on going to the gym to do resistance training and more intense cardio. I have felt like I "needed" it because walking doesn't really clear my brain fog like more intense exercise does. I've also started trying to eat more whole food meals since last year because of some other health scares (realize now it was related to stress and anxiety), but since they went away in November I started eating whatever I wanted again: chips, Kinder Buenos, all the fruit I want. I even bought some grocery bakery goods again like I used to. From mid 2023 to 2025 I would actually eat bakery goods (chocolate croissants, marblecakes, apple turnovers, etc.) every single morning because "I was young and healthy and don't gain weight anyway." I think I was just speedrunning insulin resistance at that point. I got my ultrasound this past Wednesday and it said mildly echogenic and coarse liver and I was so dismayed :( I don't even drink btw, only maybe like 2x a year socially. Now I know I need to go back to cutting all the shit out. But it also kind of puts my past experiences into perspective and everything makes sense. Did anyone else suspect something was up because of insulin resistance despite otherwise seeming healthy?

Edit: I also started having allergies for the first time in my life a few months after starting eating the baked goods in the mornings. Like I had been using the same shampoo for years, and suddenly it gave me eczema on my hands and I had to go fragrance free everything. I also now have a nickel allergy and if I eat certain foods like too many beans, spinach, whole wheat, etc. I get eczema on my hands and lips.

I was diagnosed with fatty liver a few weeks ago and I’m generally doing well sticking to my new, strict diet. Losing weight, making healthy swaps. But damnit I miss ice cream so bad. Sure there’s healthy, fruit-only popsicles but they don’t satisfy the same craving. Any suggestions for fatty liver friendly ice cream swaps. Something to curb the sweet creamy frozen dessert need?

Ps- Please don’t say plain nonfat frozen Greek yogurt with some fruit in it. I know that’s really the best swap from a health standpoint but i just don’t like it.

Hey everyone! So a few weeks ago I was getting an ultrasound of my abdomen done and they noted that my liver was enlarged, which totally caught me by suprise and freaked me out. I went to my doctor who said I likely have fatty liver and referred me out for a Fibroscan of my liver. Well I just had my Fibroscan done today and on MyChart when I went to looks at the results the doctors impression was as follows. Nobody in the office explained anything about my results for me so I have no idea how to interpret this "impression" part. If anyone has any idea about what this info bellow means, id greatly appreciate it, as I get anxious and dont have a follow up appointment with a GI specialist until June 5th and I dont really want to wait that long just to understand and interpret my results 😅. Ill try calling the GI clinic tomorrow to see if I can like speak to a doctor or NP about my results (not to sure if thats a thing or not, but I hope it is lol).​ Any information would be appreciated, I know you cant ask for medical advice on here, so I'm not sure if im even allowed to ask how to interpret lab results on here, so if this isn't allowed Mods its OK to remove my post!!

Impression: Median liver stiffness score was 3.6 kPa corresponding to a liver fibrosis stage F0 or F1; No scarring based on the table below. LiSA of 322 dB/m corresponding with >67% or severe liver steatosis.

F46, I am having my first colonoscopy soon and had some bloodwork done beforehand. GI also ordered an ultrasound because of some gas and gas pain I've been having. My BMI is 25.4 and I eat a relatively healthy diet (not much red meat, lots of veggies, hardly any added sugar) and exercise pretty regularly. I do drink but not more than 3-4 drinks per week.

I was alarmed when I got my bloodwork back and my liver enzymes were a bit elevated (AST 44, ALT 50). I sent a message to my doctor's online portal and was told that lots of things could cause those numbers to be elevated and there wasn't much concern. Fast forward to last week, I had the ultrasound and got that report through the patient portal (still no contact from my GI doc).

This is what it says:

"The liver is diffusely increased in echogenicity. No focal lesions. Impression: Hepatic steatosis"

So, I'm assuming I have fatty liver disease and I want to know what questions to ask when I meet with the doctor (a week after my colonoscopy in a few weeks). Are there more tests that I should expect to happen to confirm the diagnosis? Also, I take an oral birth control as a form of HRT and now I'm worried that could be damaging my liver as well. Should I discontinue use of that? Any advice is appreciated.

Hi y'all, I'm entering this subreddit for some advice and perspectives. I'm currently 25wks pregnant and in testing for cholestasis and preeclamsia my midwife informed me that my liver enzymes were elevated and it was likely due to fatty liver disease. I have PCOS, so this isn't really a surprise, but I don't want to make the condition worse and am very much in the game of preventing diabetes and cirrhosis if possible.

So, while I await for more information from my doctor, I am curious on what those of you in the game longer would do if you were diagnosed for the first time all over again? What are some good action steps? Thanks in advance for sharing! :)

Hello. Reading this reddit group has been very helpful. The past 5 months have been hell for me. I had a fibroscan done December 10th. In December right after the holidays, I got a call to go get an MRI/MR Elastography from my Hepatologists office. I asked why, and the nurse practitioner said the fibroscan showed F4 Fibrosis. I immediately panicked. I scheduled the MRI/MR Elastography. At the time I was 360 ibs. I was asked to also do another fibroscan day before new years. The scan on December 10th read 14 KPA, and the one before new years read 22 KPA. I was in a rut. I asked to see my hepatologist before my MRE, and when I saw him he told me that he doubts that I have Cirrhosis as the fibroscan in heavy individuals can be off, and that 2 different readings is also fairly strange. Jan 12 was the date of the MRE. The next day I got the results. 1.6 KPA, 21cm liver and 7% fat. I was immediately relieved. Since then, I now currently weight 299ibs as of this morning (completely changed my diet) I have been having on and off RUQ abdominal pain, and then got a HIDA scan done showing that I have a low ejection rate of the gallbladder. I am scheduled for surgery, but recently, my palms have been getting fairly red and have been getting stomach pains after taking a mild amount of tylenol. I was wondering if anyone has had symptoms like this despite getting good results from MRE?