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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Is Evion The Right Medication For Enlarged, Fatty Liver?

My height is 184 cm and weight is 102 Kg. I done LFT and SGOT is 160, SGPT is 145 S Biliurbin is 1.58 then doctor advise to do USG, my liver is inlarged and liver size is 15.8 cm and fat also seen on the liver. Doctor advised me evion 600 twice a day and exercise what shoud I do
Mon, 28 Sep 2015
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Diabetologist,  's  Response
Hi,

Thanks for your question .

After going through your question, I can understand your concern.

There is most likely possibility of NASH (Non Alcoholic Steato-Hepatitis) in your case, if you are not taking alcohol.

It is due to insulin resistance ie. Increased insulin requirement of body cells to utilize blood glucose.

It is usually associated with -
- Obesity as in your case. Considering your height and weight your Body Mass Index (BMI) is more than 30.
- Dyslipidemia.
- Elevated Liver enzymes as in your case.
- Fatty Liver on Ultrasonography.
- Impaired blood glucose levels.

It may be advisable to do following investigation -
- Lipid Profile.
- Oral Glucose Tolerance Test (OGTT) with insulin level.
- T3, T4, TSH.
- Urine examination.
- Calcium metabolism.

Depending upon it need for further evaluation can be taken.

Cap Evion is a Vitamin E supplement it is a nutritional supplement rather than medicine.

Main treatment I'm your case is to treat insulin resistance.
- Weight reduction.
- Calories and fat restricted diet.
- Regular exercise.
- If indicated use of Medicine like Metformin or Pioglitazone.
- Use of Lipid lowering medicine according to Lipid Profile.

You should consult endocrinologist or gastroenterologist.

Hope this helps you, if so do vote as helpful.
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Is Evion The Right Medication For Enlarged, Fatty Liver?

Hi, Thanks for your question . After going through your question, I can understand your concern. There is most likely possibility of NASH (Non Alcoholic Steato-Hepatitis) in your case, if you are not taking alcohol. It is due to insulin resistance ie. Increased insulin requirement of body cells to utilize blood glucose. It is usually associated with - - Obesity as in your case. Considering your height and weight your Body Mass Index (BMI) is more than 30. - Dyslipidemia. - Elevated Liver enzymes as in your case. - Fatty Liver on Ultrasonography. - Impaired blood glucose levels. It may be advisable to do following investigation - - Lipid Profile. - Oral Glucose Tolerance Test (OGTT) with insulin level. - T3, T4, TSH. - Urine examination. - Calcium metabolism. Depending upon it need for further evaluation can be taken. Cap Evion is a Vitamin E supplement it is a nutritional supplement rather than medicine. Main treatment I m your case is to treat insulin resistance. - Weight reduction. - Calories and fat restricted diet. - Regular exercise. - If indicated use of Medicine like Metformin or Pioglitazone. - Use of Lipid lowering medicine according to Lipid Profile. You should consult endocrinologist or gastroenterologist. Hope this helps you, if so do vote as helpful.