The referral to nutrition mentioned below is useless to me since Medicare (and therefore my secondary insurance) doesn't pay for individual consult. I may pay for one myself at some point, but basically I'm treating this as a stricter version of a heart healthy diet crossed with a modified diabetic diet with the hope of reducing inflammation generally. For my sanity I am not making weight loss a goal though some modest weight loss has resulted.
Gastroenterologist regarding trans-jugular liver biopsy results:
"As discussed on the phone, you have NASH (non-alcoholic steatohepatitis) which is inflammation of your liver from fat cells. There was a little bit of scarring (fibrosis, stage II) but good news is that there is not cirrhosis (complete scarring). Of course, we are trying to prevent cirrhosis so that would entail weight loss in a slow and steady manner. I have referred you to nutrition.
Also, vitamin E supplementation at 800 international units per day may decrease the inflammation and hopefully decrease fibrosis but that needs more studies to prove the latter."
Most recent liver panel:
Total Protein 6.8 g/dL 6.4 - 8.2 g/dL
Albumin 3.2 g/dL 3.2 - 4.7 g/dL
Total Bilirubin 0.4 mg/dL <1.1 mg/dL
Direct Bilirubin 0.1 mg/dL 0.0 - 0.30 mg/dL
Alkaline Phosphatase 131 U/L 26 - 137 U/L
AST 15 U/L 0 - 37 U/L
ALT 18 U/L 0 - 60 U/L
Last C-reactive protein test was 2015
C-Reactive Protein 40.2 mg/L
Recent cardiac cath showed no new blockages so that's great news! Even if nuclear scan showed a lowered ejection fraction.