NAFLD - What is happening to me?

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Patients Non-alcoholic fatty liver disease and NASH

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Posted on

Hi everyone - this is my inaugural post, so nice to meet you. I’m here searching for answers. So far, doctors are dismissive and confusing.

I recently had an abdominal ultrasound done that revealed I have NAFLD. Here’s the catch; I’m in terrific shape. My bodyfat percentage is 8 - 9%. I’ve exercised religiously for almost 30 years (I’m 43). I can spit out 775kj in a 45 min Peloton ride, bench press 225lbs for reps and deadlift nearly 400lbs. I’m lean, fit and eat very healthy (typical bodybuilder diet that is high in protein).

My Lipid Profile: Cholesterol 168 (LDL 111, HDL 45); Triglycerides 60. All well within the normal range.

Liver Enzymes: AST 22 (normal is 0-34); ALT 18 (normal is 15 - 67). So my liver is functioning perfectly fine.

I don’t drink alcohol at all. I don’t smoke. No drugs.

Everything I read says I have none of the risk factors for NAFLD. 

Yet, I have NAFLD. Even worse, here are the “cures” and lifestyle changes required to reverse a fatty liver: lose weight, lower your cholesterol, eat fruits and vegetables, stop drinking. I have no extra weight to lose (getting to 6 - 7% body fat would require near starvation at my age), my cholesterol is already at a healthy level, my triglycerides are low, and I already eat a lot of fruits and vegetables and don’t drink.

So I’m at a total loss. Am I supposed to just continue to let my liver deteriorate? I feel like there is nothing I can do to help my situation and the doctors have no information for me and their best advice is to keep living how I live and it should go away, which makes no sense, since I developed the fatty liver with an already healthy lifestyle.

Can anyone help shed light on what is happening to me, share any resources or provide any guidance???

Thank you!

Beginning of the discussion - 5/6/21

NAFLD - What is happening to me?


Posted on

@NAFLDWTF Hi, love the username, basically describes my entire experience with NAFLD. I'm sorry you've had this dumped on your plate, especially since you're in such good shape! If you read through the forums here I think you'll find that lack of information, especially from doctors, is kind of a theme with NAFLD and NASH unfortunately.

I've had this several years now and they kind of tend to just tell you to lose weight and change your diet and that's the "fix all" advice doled out to everyone. I'm surprised in your case that you have NAFLD in the first place and then that they haven't done a serious look into your case to figure out what's going on, because like you said you sound like you're in great shape and not a "typical" candidate for it.

I wish I could offer more help. Have you thought about getting a second opinion? 

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