Fatty Liver: Should I Get Additional Blood Tests? - Gastroenterology and Hepatology

Q: Fatty Liver: Should I Get Additional Blood Tests?

Hello： For the diagnosis of fatty liver, blood tests should include GOT (AST) and GPT (ALT), triglycerides, and also cholesterol levels, including LDL and HDL (low-density and high-density lipoproteins). <br>The key is to work on returning to your normal weight, avoid alcohol, ma

Please inquire about fatty liver disease?

Hello Doctor: Last year, due to gastroesophageal reflux issues, I had an ultrasound and adult health screening done.
The ultrasound results showed a small cyst on my liver, but everything else was normal, and my blood tests were within standard ranges! This month, I experienced discomfort in my right abdomen, so I had another ultrasound.
The doctor believes it is not a serious issue and is likely related to a sports injury, but he pointed out that I have fatty liver...
This year, due to changes in my job, I have gained 10 kilograms, and the doctor thinks it is related to obesity and advised me to exercise more.
Since I had no understanding of fatty liver at the time, I did not ask further questions, so I would like to consult you: Should I have blood tests done again to check other liver indicators? (My blood tests were normal last year!) Thank you for your response.
I appreciate it.

Zhuang Xiansheng, 40~49 year old female. Ask Date: 2013/10/29

Dr. Cai Anshun reply Gastroenterology and Hepatology

Hello: For the diagnosis of fatty liver, blood tests should include GOT (AST) and GPT (ALT), triglycerides, and also cholesterol levels, including LDL and HDL (low-density and high-density lipoproteins).
The key is to work on returning to your normal weight, avoid alcohol, maintain a light diet, and exercise more.
Changhua Hospital cares about your health.
Dr.
Tsai An-shun.

Reply Date: 2013/10/29

More Info

Understanding fatty liver disease is crucial, especially given your recent diagnosis and weight gain. Fatty liver, or hepatic steatosis, occurs when excess fat builds up in the liver. It can be associated with obesity, diabetes, high cholesterol, and high triglycerides. Given your recent weight gain of 10 kilograms and the diagnosis of fatty liver, it is indeed advisable to undergo additional blood tests to assess your liver health more comprehensively.

The standard blood tests that are typically recommended for evaluating liver health include liver enzymes such as AST (aspartate aminotransferase, also known as GOT) and ALT (alanine aminotransferase, also known as GPT). Elevated levels of these enzymes can indicate liver inflammation or damage. In your case, since you have been diagnosed with fatty liver, monitoring these enzymes can help determine if there is any progression in liver damage.

In addition to liver enzymes, it is also important to check your lipid profile, which includes triglycerides and cholesterol levels. High triglycerides can be a significant risk factor for fatty liver disease and can also indicate metabolic syndrome, which is often associated with obesity. Regular monitoring of these levels can help you and your healthcare provider understand your risk factors better and guide lifestyle changes.

Moreover, considering your weight gain and the potential for metabolic issues, it may be beneficial to check for insulin resistance or diabetes. Tests such as fasting blood glucose and HbA1c can provide insight into your blood sugar levels and help assess your risk for type 2 diabetes, which is often linked with fatty liver disease.

Given your situation, it is also essential to evaluate your overall lifestyle. You mentioned that your doctor advised you to exercise more, which is a critical component in managing fatty liver disease. Regular physical activity can help reduce liver fat, improve insulin sensitivity, and promote weight loss. A balanced diet low in saturated fats, refined carbohydrates, and sugars is also recommended. Incorporating more fruits, vegetables, whole grains, and lean proteins can support liver health.

In summary, yes, you should consider getting additional blood tests to monitor your liver enzymes, lipid profile, and possibly blood glucose levels. This will provide a clearer picture of your liver health and help you and your healthcare provider develop an effective management plan. Regular follow-ups and lifestyle modifications are key in managing fatty liver disease and preventing its progression to more severe liver conditions, such as non-alcoholic steatohepatitis (NASH) or cirrhosis. Always consult with your healthcare provider for personalized advice and recommendations based on your specific health needs.

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