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Suggest Treatment For Excessive Weight Gain While Having Fatty Liver Disease

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Posted on Tue, 29 Nov 2016
Question: Please Doctor help me inteprate fatty liver, prediabetic stages and insuline resistant with BMI level 32. Thanks
doctor
Answered by Dr. Panagiotis Zografakis (2 hours later)
Brief Answer:
related to increased body weight

Detailed Answer:
Hello,

fatty liver means fat accumulation in the liver. This is a usually benign condition but it may evolve (rarely though) into hepatitis and cirrhosis. It is related to increased body weight, diabetes and alcohol consumption.

Prediabetes and insulin resistance are also related to increased body weight but they are in part the result of genetic predisposition to insulin resistance.

The key to managing these disorders is loosing weight, stopping alcohol, adopting a healthy diet and increasing your physical activity.

I hope you find my comments helpful!
Please contact me again, if you'd like any clarification or further information.

Kind Regards!
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Panagiotis Zografakis (15 hours later)
I none alcoholic drinker and never have and also I'm attaching my resul for futher analysis. Thanks
doctor
Answered by Dr. Panagiotis Zografakis (1 hour later)
Brief Answer:
I received your bmi, height and weight only

Detailed Answer:
Hello,

the scanned document contained only your BMI, weight and height. Did you upload anything else? If you did, it doesn't show up! You can send it directly to me to this email address: YYYY@YYYY .

Your BMI suggests that the extra kilos is probably the cause of this condition. Loosing some weight would definitely help. The rest of the advice in my previous answer also applies. So watching your diet, increased your physical activity and loosing weight. I didn't meant that you do consume alcohol. Alcohol consumption is an aggravating factor for fatty liver though but it's not necessary to develop fatty liver. Being overweight suffices!

Regarding your diet, you should eat many vegetables, avoid red meat (eat red meat once a week or less frequently), eat fish, avoid sweets and food with fatty content (like pies for example) and make sure that the total calories are enough to keep you going but not too many, so that you can loose weight. You should consult a dietitian for a detailed diet plan.

Kind Regards!
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Panagiotis Zografakis (2 days later)
Attached rest of the test. Pls let me know and analyse.
doctor
Answered by Dr. Panagiotis Zografakis (5 hours later)
Brief Answer:
can't see any report...

Detailed Answer:
I can't see any report besides your BMI. For your convenience please send them directly to my email address: YYYY@YYYY
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Panagiotis Zografakis (2 hours later)
YYYY@YYYY
doctor
Answered by Dr. Panagiotis Zografakis (17 minutes later)
Brief Answer:
I suggest further testing

Detailed Answer:
Thanks for the reports! It seems that you're prediabetic and have fatty liver disease. You can confirm it with an ultrasound scan of the liver. Excluding other causes of transaminase elevation would be appropriate. Testing for infectious and autoimmune hepatitis is the tests I usually suggest to such patients. HBsAg, AntiHBs, AntiHBc IgG+IgM, antiHCV, antiHAV, antinuclear antibodies, anti-smooth muscle antibodies and soluble liver antigen (SLA). Ferritin levels may provide clues for iron overloading which may also cause transaminase elevation. If all the above are negative and the ultrasound scan identifies high fat content in the liver then it's fatty liver disease (FLD).

FLD can be managed with weight loss and proper diet. The diet that benefits patients with diabetes (and pre-diabetes) also benefits patients with FLD. Loosing weight should be your ultimate goal.

Kind Regards!
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Panagiotis Zografakis (2 hours later)
Hi, I have provided some attachments. Please review them.
doctor
Answered by Dr. Panagiotis Zografakis (46 minutes later)
Brief Answer:
I've seen them already...

Detailed Answer:
I've seen the reports in my email account. My previous answer was based on information from these reports. Please take some time to read it. I've suggested my opinion of the best route of action.

Kind Regards!
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Panagiotis Zografakis (3 days later)
Please email me the answer and I am happy with your analysis.
doctor
Answered by Dr. Panagiotis Zografakis (8 hours later)
Brief Answer:
sent...

Detailed Answer:
Hi,

I've sent it to your email address.
Note: For further follow up on digestive issues share your reports here and Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Panagiotis Zografakis

Internal Medicine Specialist

Practicing since :1999

Answered : 3816 Questions

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Suggest Treatment For Excessive Weight Gain While Having Fatty Liver Disease

Brief Answer: related to increased body weight Detailed Answer: Hello, fatty liver means fat accumulation in the liver. This is a usually benign condition but it may evolve (rarely though) into hepatitis and cirrhosis. It is related to increased body weight, diabetes and alcohol consumption. Prediabetes and insulin resistance are also related to increased body weight but they are in part the result of genetic predisposition to insulin resistance. The key to managing these disorders is loosing weight, stopping alcohol, adopting a healthy diet and increasing your physical activity. I hope you find my comments helpful! Please contact me again, if you'd like any clarification or further information. Kind Regards!