r/FattyLiverNAFLD

Hi, I paid for a health check privately, I’m in the UK.
12 months ago I have fatty liver on an ultrasound, today I received these results:

Bilirubin (7 umol/L)
ALT (74 U/L)
AST (66 U/L)
GGT (49 U/L)
ALP (73 U/L).
Non-HDL Cholesterol (4.08 mmol/L).
LDL Cholesterol 3.6
Ferritin is high at 208
And an iron deficiency

I suffer from health anxiety which prompted the test. I know alcohol is the cause, I’ve had 5 years of drinking 3-5 bottles of wine a week - now I know how this sounds and “what did you expect” is valid.
However circumstances got me to that level of drinking.
I’m around 30lb overweight and have up until recently been leaning more towards a sedentary lifestyle.

I’m 4 days alcohol free and the bloods was taken 48 hours after drinking a bottle of wine

My questions are have you seen these levels before and everything turned out ok, have I done any serious damage? Honest replies encouraged.

Thank you

In April 2026 I had an ultrasound with the report saying "Mild hepatic steatosis."

In June 2026 I had an MRI (due to another issue involving my biliary system). The MRI report says "No hepatic steatosis."

Or is it possible to go from “mild steatosis” to “no steatosis” in under two months?

Hello. So I am 39F and have insulin resistance and fatty liver. I know all these cause fatigue. So could you tell me the Best diet for fatty liver and if your fatigue was caused by fatty liver or its just my regular fatigue not related to the liver. Thanks.

Hello! First-time poster (25M) here. I have pretty persistent health anxiety and would love some clarity on what the fatty liver journey looks like.

A little over a month ago, I went in to the urgent care with complaints about pressure and tightness in my upper right abdomen. Thought it would be gallstones, which runs in my family. Doctor called in an Ultrasound ASAP where the report found I have no gallbladder issues, but do have hepatic steatosis. The doc was very nonchalant and callous about the whole thing. Didn't want to order any further testing to determine cause/stage. Casually suggested I stop drinking (I was drinking a moderate amount, probably 2-3 drinks, 3-4 days a week) and vaguely recommended I eat healthier.

After doing reading on my own and getting more helpful advice from a primary care doc, I've been on the Mediterranean diet + alcohol-free for six weeks. I miss sweets and fried food a hell of a lot but I'm staying vigilant. Dropped about 6% of my bodyweight after the first two weeks of dieting and intermittent fasting, though the weight loss has stalled since. I got bloodwork and have normal levels on everything liver-related except for Bilirubin (1.8).

But I'm still often feeling that tightness and fullness in my upper right abdomen... And I can't help feeling paranoid something worse is going on. Is this normal / roughly what the first month post-diagnosis looked like for other folks? I'd love to be able to work small treats into my life again, in moderation. What steps can I take to help the healing process and get to a modified version of "normal"?

ALANINE TRANSAMINASE (SGPT) 148.02
ASPARTATE AMINOTRANSFERASE (SGOT ) 54.27
GAMMA GLUTAMYL TRANSFERASE (GGT) 64.4
PROTEIN - TOTAL 8.7
SERUM GLOBULIN 4.05

Wondering if anyone had a fatty liver diagnosis despite normal labs (ALT/AST bilirubin, creatine etc) only found through Ultrasound only to later confirm through fibroscan that it’s actually cirrhosis or at least much worse.

I feel I’m being brushed off even with confirmation of fatty liver but normal labs. Doctor doesn’t feel it’s too bad. But I also know labs can’t paint the whole picture.

Just told to cut alcohol and exercise…I do not want to get complacent when I could be in bad shape.

I also have a ton of GI issues leading to some odd CBP results I’m working through.

Hello,

I have had a couple of blood tests where my Liver Enzymes have been elevated.

This could be because of the some of the medications I have been using.

I would like to get it down and back within range.

I don't eat a lot of processed food and my diet is not bad. (No Carbs and Green Veg)

What could I do to help my Liver.

Thanks

Al

Hi

My name is ritesh diagnosed with grade 2 fatty liver.

I'm trying to manage my health by many steps, but I'm facing one major health issue.

I have agood sleep but facing laziness in morning, is it normal or something fishy.

Hi all, I recently was having some intense stomach pain which resulted in an abdominal ultrasound to check on my gallbladder. Gallbladder ended up being fine (turns out it was just a regular old stomach bug) but the ultrasound showed my liver as "Normal size, normal shape and contour, mild increased echogenicity with homogeneous parenchyma, normal intra and extra hepatic ducts." The doctor responded saying I had fatty liver and should follow up with my primary. However, my primary said that since my ALT and AST are normal there is nothing I really need to do, other than focus on losing some weight and healthy eating. I am set to meet with a dietician soon. I asked my primary how I would know I am making progress on reversing the fatty liver damage and she said they would know by my bloodwork. When I responded that my bloodwork was already "normal", though, she didn't have a good answer but again affirmed I didn't need to be referred for any additional monitoring or testing.

While I'm happy my labs are good, I'm a little shook up by "happening" to catch this via ultrasound. Part of me would like to have more information about the state of my liver--like how bad is it? How intense do I need to be about lifestyle changes? I've already hit my out of pocket maximum this year (thanks pregnancy!) so I'm not concerned about the financial cost of seeing a liver specialist. However, I also don't want to waste any doctor's time if it really would not be helpful to get more testing or information done. This is all very new, and I would appreciate any input or advice anyone can share. Thank you!

Hi all, I've not been very interactive on here but I just wanted to let you all know you have helped on my journey. Last February (2025) I had a fibro scan and then had to have a meeting as my kpa was 16. After being told it was likely cirrhosis and that I had to immediately change. Bit of context I was 25 stones and 11 pounds at the time and had just had to drop therapy for my eating disorders that I had waiting years to get as I wanted to start monjaro. So had to choose physical over mental health (thanks NHS). I was left to deal with this with no follow up appointments . I spoke with the British liver trust charity who were incredibly helpful and supportive and free! Anyways 6 ultrasounds later (which suggested it was fatty liver) and 16 months (and 6 stone lighter)just been told my blood work is fine and that my kpa is now 4. So I'm being dismissed. I know not everyone has access to what I was given but I swam 4/5 times a week and created a routine. If anyone wants to know the swim routine please do let me know. If not I'm wishing you all recovery and peace of mind.

I’ve read that 15.5 cm is the upper limit for hepatomegaly—or that this number is considered high. The person who performed the ultrasound didn't say anything, but I’m really scared; a year ago, it measured 12 cm. 😔
Finding:
The liver measures 15.5 cm and demonstrates normal echogenicity and echotexture without evidence of focal hepatic mass or diffuse parenchymal abnormality. The hepatic vasculature is unremarkable.

Long story short I experienced DILI from a medication I didn’t know I was allergic to a little over two weeks ago. Luckily it only caused mild liver inflammation! I was told 2 days ago my enzymes have dropped significantly but I’m still not in the clear. Here’s the thing, I feel fine I don’t have any pain, I only have very slight RUQ discomfort here and there when sitting for long periods of time. I understand that the rule of thumb is to get it cleared from the doc before returning to your normal fitness routine and to ease in once you do. From your experience did you wait until your enzyme were fully recovered or did you say “f it I feel fine let’s go”? My current levels are ALT 192 AST 38 and alkaline phosphate 170?

Got blood work done

Here is a little bit of context,last year around August 18M 5'11 102kg and when I got my blood work done I had fatty liver my sgpt was nearly 200 same for sgot then worked a lot in the past one year and never ate any outside/processed food now my fatty liver is gone 19 M 5'11weighing around 80kg . Now my blood report came sgpt was 17 and sgot 17 but in this transformation I got really into fitness so I decided to get my vitamin d and vitamin b12 checked my vitamin d - 15 , vitamin b12- 110 my doctor prescribed me mecocolbamin injection(5) then neurokind pills for 2 month and for vitamin d 60000 IU weekly. CAN SOMEONE ACCESS THIS AM I GOING RIGHT ? and in the weight loss i lost muscle mass to how should I proceed to get my muscle mass improved and should I get any more tests done ?

Anthem Blue Cross was covering this now they’re not and I definitely can’t afford $4000 a dose, what are people doing in similar situations?

I suffer from anxiety and am afraid I have alcoholic hepatitis. I had an ultrasound done and everything came back fine, but I got scared about having hepatitis because of my liver size—15.5 cm, which is at the upper limit of normal. I don't have any symptoms at all. Here are my results,
The liver measures 15.5 cm and demonstrates normal echogenicity and echotexture without
evidence of focal hepatic mass or diffuse parenchymal abnormality. The hepatic vasculature is
unremarkable.
and I'm even more worried because I had a scan a year ago that listed the measurements as: RL: 12 cm, LL: 3.8 cm. The new one just says 15 cm without specifying the lobes, but I assume it refers to the RL. Does this mean it grew 3 cm in a year? Please help if anyone knows about this. 😭😭😭 I know blood test is better but I spend my money in ultrasound

Finally after chasing down the pharmacy that had the contract to fill this prescription, I got it. But it was a challenge to find which ones would/could fill it and which were unable because they had no contract do so.

Since I take a statin (one of the few meds I take that interacted with it, but I was cleared because my dose didn't cross the threshold of interaction). I also take the statin at night so I decided not to risk any initial interactions and took my first dose today in the AM.

So far, so good. 🤞 No side-effects at all for me.

The insurance is definitely the hardest part of this; prior-authorization and the copay for just 30 days/pills was all I could get at a time. But it is covered with restrictions" by my plan (Humana). The cost I was given is $4,154.59 for each month. I was close to paying all my co-pays for the year so my share was limited to the remaining my yearly max out of pocket.

I'm glad to hear that it has helped others here and I hope to report good results as well.

Hi guys,

I recently received my lab results: AST is 38 U/L, ALT is 68 U/L, and ALP is 44 U/L. Should I be concerned about fatty liver disease? For context, I exercise five times a week: I do 50 minutes of strength training and a one-hour walk daily, plus 35 minutes on the stairmaster three times a week. I'm anxious that this might indicate a serious issue. Thank you!

Had a fibrosis scan almost a month ago 254CAP, 7.5kPa yet doctor writes I have S1F0 on my fibroscan results and now my insurance won’t cover my medication because the PA needs a f2-f3 result. Everywhere I look online it says 7.5kPa is considered f2 moderate scarring. I had a unrelated CT which showed fat on my liver that they wanted me to get an MRI done on and doctor instead recommended fibroscan which has now screwed me over, denied PA, denied appeal and now I have to have a second appeal because on my fibroscan results someone wrote s1f0 despite what my CAP and kPa say. What do I do? I need this medication covered.

I have fatty liver and noticed eggs help stop my sugar craving. My worry is my cholesterol will go up? Should I be worried or is this fine?
Also, is it safe for someone with fattty liver ?

Edit: this blew up a bit - thanks for all the advice. I’m predominantly vegan/veg but also have mackerel 1-2x week, but adding eggs now for the liver benefits (1-2 per day) . My root cause for fatty liver I believe is due to my sugar addiction which I regularly binge eat sugary foods