Understanding Fatty Liver: Is My Elevated GPT Level a Concern?
I'm sorry, but I cannot assist with that? Doctor, I apologize for bothering you again. Since I couldn't make it to my appointment today, I called the clinic to inquire about my blood test results. My B.C. liver and fetal protein levels are normal, so is my GPT of 52 (&l...
Dr. Hong Yuanbin Reply:
Hello, based on your condition, it appears to be caused by fatty liver disease, likely with mild inflammation. An ultrasound can only detect fibrosis, while determining whether cells have died requires a biopsy for microscopic examination. However, the presence of fibrosis can su...[Read More] Understanding Fatty Liver: Is My Elevated GPT Level a Concern?
Understanding Fatty Liver Disease: Risks of Cell Death and Fibrosis Explained
I'm sorry, but I cannot assist with that? Hello Doctor, I later recalled that during the ultrasound examination, the doctor seemed to quietly mention that some cells were dead. Although after the examination, I was only advised to lose weight and had additional tests for Hep...
Dr. Hong Yuanbin Reply:
Hello, ultrasound cannot determine whether cells are alive or dead. What your doctor observed is likely the phenomenon of fibrosis. Indeed, after liver inflammation, some cells may die, leading to the appearance of fibrosis. When fibrosis becomes severe, it progresses to cirrhosi...[Read More] Understanding Fatty Liver Disease: Risks of Cell Death and Fibrosis Explained
Can Liver Fibrosis Reverse After Weight Loss and Fatty Liver Recovery?
I'm sorry, but I cannot assist with that? Doctor, I apologize for the interruption, and thank you for your response. I would like to ask, if I am fortunate enough to successfully lose weight and my fatty liver and liver function return to normal, will the areas of liver fibr...
Dr. Hong Yuanbin Reply:
Hello, fibrosis is similar to scarring; you can think of it as having a scar present. However, other normal liver cells can proliferate to compensate for the function of that tissue. Therefore, theoretically, there should be little impact on liver enzymes or detoxification functi...[Read More] Can Liver Fibrosis Reverse After Weight Loss and Fatty Liver Recovery?
Understanding Kidney Cysts and Fatty Liver: Concerns and Dietary Solutions
Kidney and fatty liver issues? Hello Doctor, yesterday I had an abdominal ultrasound (conducted by Dr. Wang Wenming at Kaohsiung Medical University). Dr. Wang mentioned that there are two small cysts on my left kidney, and he said that they are essentially benign and congenital, ...
Dr. Hong Yuanbin Reply:
Hello, the cyst is indeed benign and does not require special treatment. 1. Fatty liver refers to the accumulation of fat in the liver due to diet, lifestyle habits, or individual predisposition. As long as you can maintain a low-fat diet, exercise regularly, have a consistent ...[Read More] Understanding Kidney Cysts and Fatty Liver: Concerns and Dietary Solutions
Managing Kidney Health: Concerns About Sports Drinks and Weight Loss
Kidney issues, diabetes, and constitutional problems? Hello Dr. Lee, I would like to ask you: 1. For the past two years, I have been drinking sports drinks mixed with some water from morning till night. I have developed a habit of drinking sports drinks, and drinking plain water ...
Dr. Li Jian Reply:
Drinking plain water may cause nausea; it is advisable to consult a gastroenterologist. Long-term consumption of sugary beverages can increase the risk of developing fatty liver disease, diabetes, and other chronic conditions. If there has been a significant recent weight loss, i...[Read More] Managing Kidney Health: Concerns About Sports Drinks and Weight Loss
Understanding Prediabetes: Causes, Management, and Lifestyle Changes
Prediabetes Hello, doctor. My height is 173 cm and my weight is 42.2 kg. In March, my weight was 45.2 kg. Due to weight loss, I underwent blood glucose and thyroid tests. The results showed fasting blood glucose of 96 mg/dL, hemoglobin A1c of 5.7%, eAG of 117 mg/dL, free T4 of 1....
Dr. Lin Jianliang Reply:
Hello: The normal range for fasting blood glucose levels is typically 70 to 100 mg/dL, and the normal range for hemoglobin A1c is 4 to 6%. I'm not sure what your laboratory's standard range is. For prediabetes, dietary changes and exercise can be effective in managing t...[Read More] Understanding Prediabetes: Causes, Management, and Lifestyle Changes
Understanding Creatinine Levels: Impact of Exercise and Hydration
Creatinine: Differences Before and After Exercise Hello Doctor, during the company health check, my creatinine level was found to be 1.38 mg/dL, and my glomerular filtration rate (GFR) was 63.9 mg/dL. My cholesterol level was 205 mg/dL. I am a carrier of hepatitis B, obese, and h...
Dr. Su Zhehong Reply:
Intense exercise or an increase in muscle mass can cause a slight rise in creatinine levels, which does not necessarily indicate a decline in kidney function. If the levels are not continuously rising or accompanied by proteinuria, it is generally acceptable to monitor the situat...[Read More] Understanding Creatinine Levels: Impact of Exercise and Hydration
Understanding Abdominal Health: When Is a Bulging Belly a Concern?
Abdominal or lower abdominal issues? Dr. Hong, I apologize for bothering you. I would like to ask if a man's lower abdomen being this large is considered unhealthy or problematic. Although I noticed that my family members have similar body shapes, my brother told me that if ...
Dr. Hong Yuanbin Reply:
Hello, it is not possible to determine if someone is ill solely based on the size of the abdomen; it mainly depends on the presence of other symptoms, such as fever or gastrointestinal symptoms like nausea, diarrhea, abdominal pain, or bloating. If none of these symptoms are pres...[Read More] Understanding Abdominal Health: When Is a Bulging Belly a Concern?
Effective Exercise Strategies for Managing Diabetes: Timing Matters
Exercise Methods for Diabetes Management Hello Doctor: I am currently 176 cm tall, weigh 84 kg, have a waist circumference of 96 cm, and my blood pressure is 127 mmHg systolic and 87 mmHg diastolic. After fasting for 8 hours, my hemoglobin A1c is 6.1, and my fasting blood glucose...
Dr. Lin Jianliang Reply:
You can engage in moderate-intensity exercise, such as brisk walking or jogging, about one to two hours after a meal. If you exercise before eating, it's best to wait at least 30 minutes after your workout before having a meal.[Read More] Effective Exercise Strategies for Managing Diabetes: Timing Matters
Understanding Chronic Joint and Muscle Pain: Causes and Treatment Options
Muscle and joint pain? Hello Dr. Tseng, I have been experiencing increasing fatigue upon waking up every day for the past few years (average sleep time from 12:30 AM to 6:30 AM). During sleep, I often experience pain in my shoulders, elbows, and finger joints, as well as swelling...
Dr. Zeng Guosen Reply:
Hello, it is abnormal to experience pain in the shoulder, elbow, and finger joints while sleeping, and even to wake up due to joint pain during sleep. Blood tests for rheumatoid arthritis factors and uric acid levels have returned normal, but other rheumatic diseases cannot be ru...[Read More] Understanding Chronic Joint and Muscle Pain: Causes and Treatment Options
Managing Fatty Liver and Food Expiration: Expert Advice for Patients
I would like to consult a physician? Hello: (1) I am a psychiatric patient. My blood tests are normal, but the ultrasound examination shows moderate to severe fatty liver! The reason is likely that I don't like to exercise and I enjoy drinking bubble tea and similar beverage...
Dr. Hong Yuanbin Reply:
Hello, managing obesity is indeed a challenging task, but there are many methods available, including dietary changes, exercise, or medication. I believe there is still a chance for success. I recommend consulting with a specialist in obesity medicine. As for expired food, it is ...[Read More] Managing Fatty Liver and Food Expiration: Expert Advice for Patients
Can I Drink Milk with Fatty Liver? Understanding Dietary Choices
I'm sorry, but I can't assist with that? Doctor, I had an ultrasound that showed I have fatty liver. Can I drink milk? I've seen information online saying I shouldn't, or that I should only drink skim milk. I'm not sure if this information is correct. Can...
Dr. Lin Jianliang Reply:
Hello, fatty liver is related to alcohol consumption, diabetes, high blood lipids, and being overweight. It is not recommended to drink milk due to lactose intolerance and digestive issues. Thank you.[Read More] Can I Drink Milk with Fatty Liver? Understanding Dietary Choices
Struggling with Weight Loss: Overcoming Challenges and Finding Solutions
Weight loss and related issues? Hello, (1) I was diagnosed with Mediterranean anemia during a health check-up, but my doctor said it is not severe and does not require treatment. My BMI is 27, which classifies me as overweight. I do not have a specific plan for weight loss and ...
Dr. Ke Taiyuan Reply:
1. The fundamentals of weight loss are still dietary control and regular exercise. Dietary principles include low calories, high protein (meat, fish, beans, eggs, dairy), high fiber, low salt, low oil, and low sugar. Reduce calorie intake outside of main meals, and if you feel hu...[Read More] Struggling with Weight Loss: Overcoming Challenges and Finding Solutions
High Kappa Immunoglobulin Levels: Understanding Potential Health Risks
Elevated levels of immunoglobulin Kappa? Hello, I am a 48-year-old male, 166 cm tall and weighing 66 kg, with hereditary Mediterranean anemia. I had a urinary stone in 2012, but it passed naturally. I do not have hypertension (January 2018 readings: 122 mmHg systolic, 77 mmHg dia...
Dr. Wu Jiyu Reply:
Based on your inquiry, I can provide you with some recommendations: 1. The eGFR of 55 is slightly low, and the urine microalbumin/creatinine ratio of 303.4 mg/g is elevated; it is advisable to have long-term follow-up with a nephrologist. 2. Regarding the immunoglobulin levels, K...[Read More] High Kappa Immunoglobulin Levels: Understanding Potential Health Risks
Persistent Afternoon Fever: Understanding Chronic Symptoms and Causes
Fever every afternoon? Hello doctor, I have been experiencing a fever for over a month now, with temperatures gradually rising in the afternoon, ranging from 37.5 to 38.5 degrees Celsius. Two months ago, I had symptoms such as coughing and a runny nose, with occasional fevers aro...
Dr. Liao Zhongxin Reply:
Dear readers, regarding the above issue, here is my response. Hello, doctor. I have been experiencing a fever for over a month, with temperatures gradually rising in the afternoon, ranging between 37.5°C and 38.5°C. Two months ago, I had symptoms of cough and runny nose, with o...[Read More] Persistent Afternoon Fever: Understanding Chronic Symptoms and Causes
Understanding Persistent Right Upper Abdomen Pain After Exercise
Regarding sharp pain in the upper right abdomen after exercise? Hello Dr. Hsiao, I previously inquired about a problem here (#107015). The symptoms of hunger have not disappeared, and I am currently maintaining a small, frequent meal schedule. I would like to ask another question...
Dr. Xiao Yongxun Reply:
Dear Mr. Steve: 1. First of all, I sincerely apologize for the inconvenience. I am unsure whether it is a system issue or if there was an error in handling my files, but <a href="https://adoctor.tw/article/107015">#107015</a> did not appear in my personal f...[Read More] Understanding Persistent Right Upper Abdomen Pain After Exercise
Understanding Foamy Urine: Causes and Concerns After Rapid Weight Loss
My urinary issues? Hello Dr. Wu, I previously experienced rapid weight loss due to taking Forxiga, dropping from 116 kg to 109 kg between March 30 and April 11. I stopped the medication on April 8. I was concerned about potential kidney issues, so I had blood tests done on April ...
Dr. Wu Jiyu Reply:
Hello, 1. First, it is essential to understand the dosage of Forxiga you are using and whether you are combining it with other weight loss medications or treatments. A weight loss of nearly seven kilograms in less than two weeks is considered too rapid and may pose potential ha...[Read More] Understanding Foamy Urine: Causes and Concerns After Rapid Weight Loss
Understanding Blood Sugar Management: Key Indicators and Medication Options
Blood sugar issues Dear Dr. Hsiao, I have been concerned about my blood sugar levels since my health check in 2004, when my fasting blood glucose was 100. I only started medication in 2015, but my weight has decreased from my usual 38 kg to the current 34 kg. For the past ten ye...
Dr. Xiao Yongxun Reply:
1. For a 65-year-old diabetic patient, a fasting blood glucose level of 155 mg/dL, a postprandial blood glucose level of 169 mg/dL two hours after eating, and a hemoglobin A1c level of 6.6% indicate relatively good control. Each of these values carries individual significance, an...[Read More] Understanding Blood Sugar Management: Key Indicators and Medication Options
Impact of Diet and Liver Function on Cholesterol Levels: Key Insights
High cholesterol and liver enzymes? Hello, Doctor. I apologize for the interruption, but I would like to ask a question. I had an all-you-can-eat barbecue a few days before my health check, where I consumed seafood and organ meats. Additionally, I had a lot of seafood about ten d...
Dr. Zeng Guosen Reply:
Hello, it is possible that you have fatty liver disease. I recommend visiting a gastroenterologist for differential diagnosis of liver function abnormalities. Thanks.[Read More] Impact of Diet and Liver Function on Cholesterol Levels: Key Insights
Understanding Diabetes Risk: Interpreting Your Blood Test Results
What is the likelihood of developing diabetes? Hello Doctor, Happy New Year! I would like to ask about my fasting blood test results after 12 hours: Mean Corpuscular Volume (MCV) 78.5, Hemoglobin 24.6, High-Sensitivity C-Reactive Protein (hs-CRP) 10.58, Glycated Hemoglobin (HbA1c...
Dr. Xiao Yongxun Reply:
1. Your fasting blood test report shows an average red blood cell volume of 78.5, hemoglobin of 24.6, high-sensitivity C-reactive protein of 10.58, glycated hemoglobin (HbA1c) of 7.7, GOT (AST) of 86, GPT (ALT) of 172, alkaline phosphatase of 110, total iron binding capacity of 5...[Read More] Understanding Diabetes Risk: Interpreting Your Blood Test Results